Provider Demographics
NPI:1164232864
Name:ATKINSON, MICAELA (DNP-FNPC)
Entity type:Individual
Prefix:
First Name:MICAELA
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DNP-FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14705 HARVEY OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2057
Mailing Address - Country:US
Mailing Address - Phone:402-238-7780
Mailing Address - Fax:
Practice Address - Street 1:18111 Q ST STE 103
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-1245
Practice Address - Country:US
Practice Address - Phone:402-997-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily