Healthcare Provider Details

I. General information

NPI: 1700403656
Provider Name (Legal Business Name): BRANDI MARIE ROBINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

19605 BRIAR ST
GRETNA NE
68028-5053
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-5400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number114367
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: