Healthcare Provider Details

I. General information

NPI: 1679907257
Provider Name (Legal Business Name): JOHN ANTHONY URBANSKI APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 03/02/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8419 S 73RD PLZ STE 101
PAPILLION NE
68046-1507
US

IV. Provider business mailing address

401 DANA LN
PAPILLION NE
68133-2330
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-9060
  • Fax:
Mailing address:
  • Phone: 402-201-7509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA134945
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111530
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: