Dickey, Tara Marie

Dickey, Tara Marie is an individual health care provider with primary practice located at 7822 Davenport St , Omaha NE 68114-3629. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Dickey, Tara Marie can be contacted via phone (402) 391-4855.

Contact Information

Primary practice address
7822 Davenport St Omaha NE 68114-3629
Phone: (402) 391-4855
Fax: (402) 391-6818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 77804 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101576 Nebraska

Profile Details

NPI number 1326667676
LBN Legal business name Dickey, Tara Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2020
Last updated Jun 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326667676 NPPES
Nebraska Other 77804 RN LICENSE

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