Healthcare Provider Details

I. General information

NPI: 1730758608
Provider Name (Legal Business Name): BRITTANY NELSON RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

7314 N 143RD ST
OMAHA NE
68142-2132
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-4385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number78042
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101709
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: