Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 111376 | NE |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 111376 | NE |
NPI | 1013271246 |
---|---|
Provider Name | Dacia Dawn Oakeson |
First Address | Hastings, NE 68901-7387 |
Second Address | Hastings, NE 68901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2012 |
Last Update Date | 19/07/2019 |