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NPI Code Detail

MEDICARE: JOELLE BUCHHOLZ NP

MEDICARE: JOELLE BUCHHOLZ NP
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 Practitioner113780NE

General Provider Information

NPI Number : 1578209326
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE BUCHHOLZ NP
Provider Business Mailing Address
First Line : 19404 OAKWOOD ST
Second Line :
City : OMAHA
State : NE
Zip : 68135-4232
Country : US
Telephone Number : 402-440-6148
Fax Number :
Provider Business Practice Location Address
First Line : 312 OLSON DR STE 101
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2981
Country : US
Telephone Number : 402-933-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2022
Last Update Date : 05/05/2022

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Directions to “ JOELLE BUCHHOLZ NP” Practice Location

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