Endeveren Family Medicine Llc

NPI 1023257763 - Pediatrics - 208000000X

NPI Details
NPI 1023257763
Enumeration Date 02/18/2009
Last Updated 02/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICHELLE REE NICHELLE
Position SOLE MEMBER
Phone (402) 571-3574
Fax
Practice Location
4317 N 80TH ST
OMAHA NE, 68134-3367, US
Phone (402) 571-3574
Fax
Business Location
4317 N 80TH ST
OMAHA NE, 68134-3367, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Nebraska
License Number 22626
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According to our database, Endeveren Family Medicine Llc NPI is 1023257763, taxonomy code is 208000000X and license number is 22626, license state is located at Nebraska. Endeveren Family Medicine Llc physically located at 4317 N 80th St, Omaha NE, 68134-3367. NPI Number 1033115704 has the healthcare provider type.

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1023257763 NPI number is provided on an as is basis without warranty of any kind. 1023257763 is maintained by the National Plan & Provider Enumeration System. The contents of Endeveren Family Medicine Llc are for informational purposes only.