Healthcare Provider Details

I. General information

NPI: 1417517715
Provider Name (Legal Business Name): CORRI A STEARNES DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORRI A RENNER DNP

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12020 PACIFIC ST
OMAHA NE
68154-3507
US

IV. Provider business mailing address

12020 PACIFIC ST
OMAHA NE
68154-3507
US

V. Phone/Fax

Practice location:
  • Phone: 402-210-2677
  • Fax: 402-210-2677
Mailing address:
  • Phone: 402-210-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC175657
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCP003069
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26846
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number112821
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number103322-875
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number82817
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR55490
License Number StateND
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13770817-4405
License Number StateUT
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number470443341
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: