MEDICARE: COLLEEN FRITCH RN

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
1	163WH0200X	Home Health Registered Nurse	64070	NE

General Provider Information

NPI Number	:	1790673655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN FRITCH RN

Provider Business Mailing Address
First Line	:	3000 S 84TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10275 GRAND AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-2532
Country	:	US
Telephone Number	:	402-651-7878
Fax Number	:	402-651-7878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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Directions to “ COLLEEN FRITCH RN” Practice Location

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