Doctor Name: | NIKI DEEDS |
NPI Number: | 1679840284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | APPLYING |
Business Practice Address: | 3307 Barada St Falls City, NE - 683552470 |
Business Phone Number: | 4022456582 |
Business Fax Number: | |
Mailing Address: | 2603 Wilson St, FALLS CITY |
State: | NE |
Postal Code: | 683551219 |
Phone Number: | 4025982335 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | APPLYING |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |