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NPI 1003650482

NPI 1003650482 : WENDI KRISTI-ANN JAMES FNP-C : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1003650482
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    Entity Type          |    Individual 
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    Provider Name        |    WENDI KRISTI-ANN JAMES FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2024
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    Last Update Date     |    06/21/2024
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Provider Practice Location Address
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    Address Line         |    101 S 42ND ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68131-2739
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    Country              |    US
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    Telephone            |    914-433-9695
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3217 N 178TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68116-2285
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    Country              |    US
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    Telephone            |    914-433-9695
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    96808
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    761618
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    115343
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    License Number State |    NE
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