NPI 1023823218

Erica Erica Penn

Practitioner Contractor Omaha, NE

Practice location

Address: 5023 N 128th St, Omaha, NE 68164-1936
Phone: (402) 306-7418

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1023823218
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2025
Record last updated: 12 Feb 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.