Healthcare Provider Details

I. General information

NPI: 1912860677
Provider Name (Legal Business Name): PINKEY GIRI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4840 DODGE ST
OMAHA NE
68132-3111
US

IV. Provider business mailing address

5113 N 208TH AVE
ELKHORN NE
68022-5318
US

V. Phone/Fax

Practice location:
  • Phone: 402-558-2000
  • Fax:
Mailing address:
  • Phone: 402-419-8842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116333
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: