NPI 1508740309
Douglas County Nebraska
Practice location
- Address
- 1111 S 41st St, Omaha, NE 68105-1803
- Phone
- (402) 444-7471
- Fax
- (402) 546-0709
Authorised official
- Name
- Kelly McCauley
- Title
- Clinic Coordinator
- Phone
- (402) 444-7312
Registered specialties (7)
Public Health or Welfare Agency
Primary
Registered Nurse
Community Health Registered Nurse
Community Health Clinic/Center
State or Local Public Health Clinic/Center
Nurse Practitioner
Women's Health Nurse Practitioner
Registry record
- NPI
- 1508740309
- Entity type
- Organization
- NPI issued
- 4 Aug 2025
- Record last updated
- 5 Aug 2025
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.