| Elijah Tyler Mcconkey, | |
|
3755 N 38th St, Omaha, NE 68111-2617 | |
| (646) 360-9738 | |
| Not Available |
| Full Name | Elijah Tyler Mcconkey |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 3755 N 38th St, Omaha, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730904640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0337025 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Tyler Mcconkey, 3755 N 38th St, Omaha, NE 68111-2617 Ph: (646) 360-9738 | Elijah Tyler Mcconkey, 3755 N 38th St, Omaha, NE 68111-2617 Ph: (646) 360-9738 |
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