NPI 1700403250 · live from the CMS NPI Registry
Nicholas Anthony Distefano, MD
Psychiatry & Neurology, Psychiatry in Omaha, NE. National Provider Identifier 1700403250, active.
NPI record
| NPI | 1700403250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 7710 Mercy Rd Ste 202, Omaha, NE 68124 |
| Practice phone | 402-280-4195 |
| Enumerated | July 1, 2020 |
| Last updated | July 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 8835 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.