Most Relevant Information
Provider Data
| NPI Number: | 1003459728 |
| Provider Name: | MICHAELA JOANNE MOHR |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 74208 |
Most Important Dates
| Enumeration Date: | 10/25/2019 |
| Last Updated: | 10/25/2019 |
Provider Practice Location
110 N 29TH ST
NORFOLK
NE
687014424
Practice Location Phone/Fax
| Phone: | 4026447550 |
| Fax: |
Provider Mailing Location
110 N 29TH ST
NORFOLK
NE
687014424
Provider Mailing Phone/Fax
| Phone: | 4026447550 |
| Fax: |