Laurel Duba, APRN
Nurse Practitioner, Primary Care in Lincoln, NE. Individual provider (NPI-1).
NPI number1669901765
StatusActive
Last updated in NPPESMay 20, 2020
Details
- NPI
- 1669901765
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laurel Duba
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2017
- Certification date
- May 20, 2020
- Last updated
- May 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 112268 | NE | Yes |
| 163W00000X | Registered Nurse | 72499 | NE |
Practice location
4501 S 70th St Ste 140Lincoln, NE 68516-4276
Phone 402-484-5100
Mailing address
8200 Renatta Drive #1103Lincoln, NE 68516
Phone 402-852-6360
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