MEDICARE: DR. REBECCA DAWN SLOMINSKI DNP 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
1	163WP0200X	Pediatric Registered Nurse	51393	NE
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	112706	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275013112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA DAWN SLOMINSKI DNP APRN

Provider Business Mailing Address
First Line	:	22025 TRAILRIDGE BLVD
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-2508
Country	:	US
Telephone Number	:	402-540-7915
Fax Number	:

Provider Business Practice Location Address
First Line	:	11404 W DODGE RD STE 300
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-2511
Country	:	US
Telephone Number	:	402-898-1113
Fax Number	:	402-819-5588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	03/28/2022

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