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Timothy B Baack

Nurse Practitioner in Omaha, NE. Individual provider (NPI-1).

NPI number1699298562
StatusActive
Last updated in NPPESJul 21, 2017

Details

NPI
1699298562
Entity type
Individual (NPI-1)
Name
Timothy B Baack
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2017
Last updated
Jul 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner112279NEYes

Practice location

987400 Nebraska Medical Ctr
Omaha, NE 68198-7400

Phone 402-559-7592

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

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