Healthcare Provider Details

I. General information

NPI: 1275013112
Provider Name (Legal Business Name): REBECCA DAWN SLOMINSKI DNP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 03/28/2022
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11404 W DODGE RD STE 300
OMAHA NE
68154-2511
US

IV. Provider business mailing address

22025 TRAILRIDGE BLVD
ELKHORN NE
68022-2508
US

V. Phone/Fax

Practice location:
  • Phone: 402-898-1113
  • Fax: 402-819-5588
Mailing address:
  • Phone: 402-540-7915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number51393
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number112706
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: