Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 111655 | NE |
NPI | 1003221698 |
---|---|
Provider Name | Carrie L Hovey |
First Address | Omaha, NE 68107-1590 |
Second Address | Omaha, NE 68107-1590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 07/10/2016 |