Healthcare Provider Details

I. General information

NPI: 1386366169
Provider Name (Legal Business Name): SARAH A OCKEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH A GILLE RN

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 ARBOR ST
OMAHA NE
68124-2149
US

IV. Provider business mailing address

7807 ONTARIO ST
OMAHA NE
68124-4020
US

V. Phone/Fax

Practice location:
  • Phone: 402-390-6464
  • Fax:
Mailing address:
  • Phone: 402-513-9078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number64814
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: