Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 110948 | NE |
NPI | 1063676328 |
---|---|
Provider Name | Sydnie Melissa Carraher |
First Address | Lincoln, NE 68510-2462 |
Second Address | Lincoln, NE 68510-2462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 19/10/2017 |