Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 30573 | NE |
NPI | 1083977946 |
---|---|
Provider Name | Dr. Nicholas Lee Townley |
First Address | Omaha, NE 68124 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2012 |
Last Update Date | 19/07/2018 |