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NPI Code Detail

MEDICARE: ROSEMARIE NEAL

MEDICARE: ROSEMARIE NEAL
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
1363L00000XNurse Practitioner67520NE

General Provider Information

NPI Number : 1235504077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE NEAL
Provider Business Mailing Address
First Line : 4200 DOUGLAS ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2705
Country : US
Telephone Number : 402-552-3222
Fax Number : 402-552-2172
Provider Business Practice Location Address
First Line : 4200 DOUGLAS ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2705
Country : US
Telephone Number : 402-552-3222
Fax Number : 402-552-2172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2015
Last Update Date : 12/04/2015

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Directions to “ ROSEMARIE NEAL ” Practice Location

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