Michaela A Gulzow, APRN
Nurse Practitioner in Ainsworth, NE. Individual provider (NPI-1).
NPI number1104486992
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1104486992
- Entity type
- Individual (NPI-1)
- Name
- Michaela A Gulzow
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 112847 | NE | Yes |
Other names
- Michaela A Ostdiek (Former Name)
Practice location
945 E Zero StAinsworth, NE 69210-1556
Phone 402-387-2800 · Fax 402-387-2804
Mailing address
945 E Zero StAinsworth, NE 69210-1556
Phone 402-387-2800 · Fax 402-387-2804
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