Healthcare Provider Details

I. General information

NPI: 1356610422
Provider Name (Legal Business Name): MEGAN C FALKE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987400 NEBRASKA MEDICAL CTR
OMAHA NE
68198-7400
US

IV. Provider business mailing address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8102
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-3562
  • Fax: 402-559-2025
Mailing address:
  • Phone: 402-559-6195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number111319
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number111319
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: