Provider Information for 1053969360
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MISTY D WARREN LIMHP
Sex: Female
NPI: 1053969360
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1053969360 | ||||||||||||||||||||
| Enumeration Date | 2019-08-29 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 16707 Q ST STE D OMAHA, NE 68135-1248 United States Phone: 402-670-8850 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 16707 Q ST STE D OMAHA, NE 68135-1248 United States Phone: 402-670-8850 | Fax: | ||||||||||||||||||||
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