Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 30912 | NE |
NPI | 1003105214 |
---|---|
Provider Name | Dr. Elizabeth Stephens Constance |
First Address | Omaha, NE 68138-6804 |
Second Address | Omaha, NE 68138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2011 |
Last Update Date | 27/08/2018 |