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11717 Burt St Ste 203 Omaha NE 68154-1500 | |
(402) 302-2775 | |
(833) 471-4570 |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 11717 Burt St Ste 203, Omaha, Nebraska |
Authorized Official Name and Position | Salina Anderson (PRESIDENT) |
Authorized Official Contact | 4023022775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11717 Burt St Ste 203 Omaha NE 68154-1500 Ph: (402) 302-2775 | 11717 Burt St Ste 203 Omaha NE 68154-1500 Ph: (402) 302-2775 |
NPI Number | 1457006157 |
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Provider Enumeration Date | 02/21/2022 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Medicare PECOS PAC ID | 6103369673 |
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Medicare Enrollment ID | O20240625002450 |
Identifier | Type | State | Issuer |
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1457006157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Salina V Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629461140 PECOS PAC ID: 2860719762 Enrollment ID: I20150401002104 |
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