Whalio Doctors

NPI 1023257763

Endeveren Family Medicine LLC

Organisation Internal Medicine Physician Omaha, NE

Practice location

Address
3015 N 90th St STE 1, Omaha, NE 68134-4713
Phone
(402) 453-6869
Fax
(402) 961-1055

Authorised official

Name
Nichelle Ree Horton-Brown
Title
Sole Member
Phone
(402) 453-6869

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 22626 (NE)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 22626 (NE)

Registry record

NPI
1023257763
Entity type
Organization
NPI issued
18 Feb 2009
Record last updated
12 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.