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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active

Contractor · GRETNA, NE

Registration Details

NPI Number
1093512972
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2025 (1.146990945701 yrs)
Last Updated
Feb 27, 2025

Practice Information

Address
12125 S 204TH AVE
GRETNA, NE, 680284080
Browse NE providers · Browse ZIP 68028
Phone
6312481258
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in GRETNA, NE

Name Credential NPI
TAYLOR NICOLE LEONARD 1174329791
BRIANNA HENSLEY 1104626704
DARRELL H HENSLEY 1295535805
NUTIFAFA DOTSE ABALEKPOR SLP 1083415996
MOLLY PATERA 1548147838
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.