Individual provider · NPI-1
Doralia Yanely Flores, FNP
Nurse Practitioner · Fremont, NE
NPI number1629676044
StatusActive
Last updated in NPPESSep 7, 2022
Details
- NPI
- 1629676044
- Entity type
- Individual (NPI-1)
- Name
- Doralia Yanely Flores
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2020
- Certification date
- Sep 7, 2022
- Last updated
- Sep 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 113720 | NE | Yes |
| 207Q00000X | Family Medicine | AP142984 | TX |
Practice location
410 E 22nd St Ste 1Fremont, NE 68025-2640
Phone 402-727-7979 · Fax 402-727-9306
Mailing address
410 E 22nd St Ste 100Fremont, NE 68025-2639
Phone 402-727-7979 · Fax 402-727-9306
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