Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 17073 | NE |
NPI | 1134179328 |
---|---|
Provider Name | Ann H Olney |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68131-3707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17073 | NE LICENSE (01) | NE |