Petrisor Tudor, PMHNP-BC, APRN, MSN
Nurse Practitioner, Psych/Mental Health in Omaha, NE. Individual provider (NPI-1).
NPI number1194447367
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1194447367
- Entity type
- Individual (NPI-1)
- Name
- Petrisor Tudor
- Credential
- PMHNP-BC, APRN, MSN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2022
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 114357 | NE | Yes |
Practice location
11404 W Dodge Rd Ste 300Omaha, NE 68154-2511
Phone 402-898-1113 · Fax 402-819-5588
Mailing address
421 S 243rd StWaterloo, NE 68069-4704
Phone 402-417-2524 · Fax 402-465-8717
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