| Jane Trainer, RDN | |
|
12626 Farnam St, Omaha, NE 68154-2335 | |
| (402) 321-0213 | |
| Not Available |
| Full Name | Jane Trainer |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 12626 Farnam St, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 802618 (Nebraska) | Primary |
| Provider Name | Life Cycle Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952894875 PECOS PAC ID: 3375891435 Enrollment ID: O20180806001850 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Trainer, RDN P.o. Box 541151, Omaha, NE 68154 Ph: (402) 321-0213 | Jane Trainer, RDN 12626 Farnam St, Omaha, NE 68154-2335 Ph: (402) 321-0213 |
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