Healthcare Provider Details

I. General information

NPI: 1669656807
Provider Name (Legal Business Name): JULIE ANNE SALKELD ARNP-FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 12/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7070 SPRING ST
OMAHA NE
68106-3519
US

IV. Provider business mailing address

PO BOX 642117
OMAHA NE
68164-8117
US

V. Phone/Fax

Practice location:
  • Phone: 402-898-8000
  • Fax: 402-898-8355
Mailing address:
  • Phone: 402-717-4377
  • Fax: 402-717-4317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number110917
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: