Healthcare Provider Details

I. General information

NPI: 1689381964
Provider Name (Legal Business Name): KEELEY NOEL SCHROEDER MSN, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KEELEY NOEL SHERMAN APRN

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17675 WELCH PLZ
OMAHA NE
68135-3551
US

IV. Provider business mailing address

PO BOX 3755
OMAHA NE
68103-0755
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-7600
  • Fax:
Mailing address:
  • Phone: 402-354-2100
  • Fax: 402-354-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number114499
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: