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NPI Code Detail

MEDICARE: ELIZABETH HEUERTZ RN

MEDICARE: ELIZABETH HEUERTZ RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse89113NE

General Provider Information

NPI Number : 1164353108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HEUERTZ RN
Provider Business Mailing Address
First Line : 1730 N 176TH PLZ
Second Line :
City : OMAHA
State : NE
Zip : 68118-6029
Country : US
Telephone Number : 402-391-5055
Fax Number : 712-396-4145
Provider Business Practice Location Address
First Line : 16120 W DODGE RD
Second Line :
City : OMAHA
State : NE
Zip : 68118-2049
Country : US
Telephone Number : 402-391-5055
Fax Number : 712-396-4145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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