Provider Demographics
NPI:1780301564
Name:NIDER, MORGAN LOUISE (APRN-NP, DNP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LOUISE
Last Name:NIDER
Suffix:
Gender:F
Credentials:APRN-NP, DNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LOUISE
Other - Last Name:O'MALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-NP, DNP
Mailing Address - Street 1:PO BOX 24607
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-0607
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:402-955-3674
Practice Address - Street 1:8552 CASS ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3567
Practice Address - Country:US
Practice Address - Phone:402-955-3871
Practice Address - Fax:402-955-8738
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114330363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics