Provider Demographics
NPI:1457981599
Name:OATMAN, DYLAN (PA-C)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:OATMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 PINE LAKE RD STE 410
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5415
Mailing Address - Country:US
Mailing Address - Phone:402-483-8700
Mailing Address - Fax:402-483-8733
Practice Address - Street 1:3901 PINE LAKE RD STE 410
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5415
Practice Address - Country:US
Practice Address - Phone:402-483-8700
Practice Address - Fax:402-483-8733
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2427363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant