Individual provider · NPI-1

Ellen Marie Addison, APRN

Nurse Practitioner · Omaha, NE

NPI number1831422302
StatusActive
Last updated in NPPESJun 28, 2011

Details

NPI
1831422302
Entity type
Individual (NPI-1)
Name
Ellen Marie Addison
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 15, 2009
Last updated
Jun 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner111052NEYes

Practice location

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Phone 402-559-4424 · Fax 402-559-4364

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Phone 402-559-4424 · Fax 402-559-4364

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