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NPI Code Detail

MEDICARE: BRENNA FRAHM

MEDICARE: BRENNA FRAHM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2235Z00000XSpeech-Language Pathologist3107NE

General Provider Information

NPI Number : 1558153957
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA FRAHM
Provider Business Mailing Address
First Line : 20650 GLENN ST
Second Line :
City : ELKHORN
State : NE
Zip : 68022-2324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20650 GLENN ST
Second Line :
City : ELKHORN
State : NE
Zip : 68022-2324
Country : US
Telephone Number : 402-289-2579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2025
Last Update Date : 06/17/2026

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Directions to “ BRENNA FRAHM ” Practice Location

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