Individual provider · Type 1 NPI
Michaela June Haddock
Nurse Practitioner · Omaha, NE
Practice location
8901 W Dodge Rd Ste 250
Omaha, NE 68114-3300
Fax (402) 354-8645
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 81706 (NE) |
| Family Nurse Practitioner | 363LF0000X | 115456 (NE) |
| Nurse Practitioner Primary | 363L00000X | 115456 (NE) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1508614397
Michaela June Haddock's National Provider Identifier is 1508614397, issued on May 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Omaha, NE. The record was last updated on Sep 30, 2024.