CHILDRENS PHYSICIANS CLINIC NPI 1700165743

NPI Information

CHILDRENS PHYSICIANS CLINIC is a children general acute care hospital in Omaha, NE. CHILDRENS PHYSICIANS CLINIC NPI is 1700165743. The provider is registered as an organization entity type.

The provider's business location address is:

16909 Q ST
OMAHA, NE
ZIP 68135-521
Phone: (402) 955-7575
Fax: (402) 955-7555

The provider's authorized official is Rachel Nicole Anthony .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (402) 618-1148.

The CLIA number assigned to this NPI record is 28D0988021 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2011 and was last updated on 8/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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