Nia Bacon

NPI #1356217715 in Omaha, Nebraska

Provider Information

NPI Number: 1356217715
Entity Type: Individual
Name: Nia Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Oct 14, 2025
Last Updated: Oct 14, 2025

Practice Location

Address: 4101 WOOLWORTH AVE
City: Omaha
State: Nebraska
ZIP Code: 68105-1850
Phone: (402) 346-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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