Provider Demographics
NPI:1831578103
Name:NABOWER, ALEISHA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEISHA
Middle Name:MARIE
Last Name:NABOWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ALEISHA
Other - Middle Name:MARIE
Other - Last Name:MENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:92185 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2185
Mailing Address - Country:US
Mailing Address - Phone:402-559-5380
Mailing Address - Fax:402-559-5137
Practice Address - Street 1:92185 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2185
Practice Address - Country:US
Practice Address - Phone:402-559-5380
Practice Address - Fax:402-559-5137
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics