Tracey M Ehlin, APRN
Nurse Practitioner, Primary Care in Omaha, NE. Individual provider (NPI-1).
NPI number1669045472
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1669045472
- Entity type
- Individual (NPI-1)
- Name
- Tracey M Ehlin
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 26, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 113694 | NE | Yes |
Practice location
4101 Woolworth AveOmaha, NE 68105-1850
Phone 402-346-8800
Mailing address
4101 Woolworth AveOmaha, NE 68105-1850
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