PEDXM PC NPI 1043726524

NPI Details

PEDXM, PC is a nurse practitioner in Gretna, NE. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PEDXM, PC NPI is 1043726524. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nebraska Home Pediatrics.

The provider's business location address is:

7125 SOUTH 199 STREET
GRETNA, NE
ZIP 68028-986
Phone: (402) 676-1145

The provider's authorized official is Erin E Thoman .
The authorized official title is Owner and has the following contact phone number (402) 676-1145.

The CLIA number assigned to this NPI record is 28D2142364 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.

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: