Provider Demographics
NPI:1710477286
Name:PHILLIPS, NICHOLAS YALE (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:YALE
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 S 70TH STREET
Mailing Address - Street 2:SUITE
Mailing Address - City:L
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3796
Mailing Address - Country:US
Mailing Address - Phone:402-489-4186
Mailing Address - Fax:402-489-5279
Practice Address - Street 1:2900 S 70TH STREET
Practice Address - Street 2:SUITE # 450
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3796
Practice Address - Country:US
Practice Address - Phone:402-489-4186
Practice Address - Fax:402-489-5279
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2022-05-10
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Provider Licenses
StateLicense IDTaxonomies
NE34487207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology