Provider Demographics
NPI:1285934661
Name:FAURE, NANCY JOANNE (PLMHP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JOANNE
Last Name:FAURE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 S WASHINGTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4165
Mailing Address - Country:US
Mailing Address - Phone:402-707-6298
Mailing Address - Fax:
Practice Address - Street 1:1413 S WASHINGTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4165
Practice Address - Country:US
Practice Address - Phone:402-707-6298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health