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NPI Code Detail

MEDICARE: YULIA REYES APRN

MEDICARE: YULIA REYES APRN
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
1363LF0000XFamily Nurse PractitionerAP127692TX
2363LF0000XFamily Nurse Practitioner111782NE

General Provider Information

NPI Number : 1164805057
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULIA REYES APRN
Provider Business Mailing Address
First Line : 7261 MERCY RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-2311
Country : US
Telephone Number : 402-733-4433
Fax Number : 402-733-1220
Provider Business Practice Location Address
First Line : 4220 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68107-1048
Country : US
Telephone Number : 402-733-4433
Fax Number : 402-733-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2015
Last Update Date : 11/08/2016

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Directions to “ YULIA REYES APRN” Practice Location

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