Healthcare Provider Details

I. General information

NPI: 1447759063
Provider Name (Legal Business Name): LAURA A LOEWENS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2018
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4229 N 90TH ST
OMAHA NE
68134-4136
US

IV. Provider business mailing address

4920 S 30TH ST STE 103
OMAHA NE
68107-1656
US

V. Phone/Fax

Practice location:
  • Phone: 402-401-6000
  • Fax: 402-401-6015
Mailing address:
  • Phone: 402-734-4110
  • Fax: 402-734-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number112404
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: