Healthcare Provider Details

I. General information

NPI: 1063348506
Provider Name (Legal Business Name): BRIANNA WEDDING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 S 48TH ST
LINCOLN NE
68516-1208
US

IV. Provider business mailing address

3825 A ST
LINCOLN NE
68510-3529
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-7444
  • Fax:
Mailing address:
  • Phone: 402-301-2931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number94251
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: