Healthcare Provider Details

I. General information

NPI: 1124292164
Provider Name (Legal Business Name): EMILY F. PATERA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY F. HILL

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13911 GOLD CIR STE 120
OMAHA NE
68144-2376
US

IV. Provider business mailing address

20911 POPPLETON CIR
ELKHORN NE
68022-2203
US

V. Phone/Fax

Practice location:
  • Phone: 531-721-2545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61954
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110952
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number119997
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number110952
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: