NPI 1023257763
Endeveren Family Medicine LLC
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
Pediatrics Physician
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.