NPI: 1770854663
Provider Name: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Doing Business As: ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER PROFESSIONAL SERVICES
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Organization
Specialization: Neonatal, Critical Care
Address:
12809 W DODGE RD
OMAHA, NE
ZIP 68154
Phone: (402) 343-4328
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ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM is a neonatal and critical care nurse practitioner in Omaha, NE. ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM NPI is 1770854663. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alegent Health Bergan Mercy Medical Center Professional Services.
The provider's business location address is:
12809 W DODGE RD
OMAHA, NE
ZIP 68154-155
Phone: (402) 343-4328
Fax: (402) 343-4389
The provider's authorized official is Evert Kuiper .
The authorized official title is Ceo and has the following contact phone number (402) 343-4420.
The enumeration date for this NPI number is 1/24/2012 and was last updated on 2/10/2022.