Provider Demographics
NPI:1881373272
Name:NIENHUESER, HAYLEY DAWN (PHARMD)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:DAWN
Last Name:NIENHUESER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3780
Mailing Address - Country:US
Mailing Address - Phone:402-451-7201
Mailing Address - Fax:
Practice Address - Street 1:3005 LAKE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3780
Practice Address - Country:US
Practice Address - Phone:402-451-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist