Doctor Name: | DION DOUGLAS MACHARD |
NPI Number: | 1538419874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN-NP |
License Number: | 111395 |
Business Practice Address: | 2707 L St Ste 1 Ord, NE - 688621275 |
Business Phone Number: | 3087284202 |
Business Fax Number: | 3087283500 |
Mailing Address: | 3515 Ave D, KEARNEY |
State: | NE |
Postal Code: | 68847 |
Phone Number: | 3083385023 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |