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NPI Code Detail

MEDICARE: RACHEL BREITKREUTZ

MEDICARE:   RACHEL  BREITKREUTZ
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 Practitioner2073NE

General Provider Information

NPI Number : 1972097350
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BREITKREUTZ
Provider Business Mailing 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 :
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 : 06/19/2018
Last Update Date : 06/19/2018

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Directions to “ RACHEL BREITKREUTZ ” Practice Location

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