Healthcare Provider Details

I. General information

NPI: 1518624337
Provider Name (Legal Business Name): MEREDITH L REITTINGER AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 03/05/2023
Certification Date: 03/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987400 NEBRASKA MEDICAL CTR
OMAHA NE
68198-2735
US

IV. Provider business mailing address

5213 HELWIG AVE
PAPILLION NE
68133-2696
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-2000
  • Fax:
Mailing address:
  • Phone: 336-549-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95161596
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number113968
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: