Individual provider · NPI-1
Michaela Rose Abbott, APRN
Nurse Practitioner, Family · Omaha, NE
NPI number1760031280
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1760031280
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michaela Rose Abbott
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2019
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 112813 | NE | Yes |
Other names
- Michaela Rose Margrave (Former Name)
Practice location
7205 W Center Rd Ste 103Omaha, NE 68124-2387
Phone 531-355-6900
Mailing address
7205 W Center Rd Ste 103Omaha, NE 68124-2387
Phone 531-355-6900
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