# PRISCILLA M. CORREA, M.D., A PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972948545
- **Authorized official:** MRS. PRISCILLA M CORREA M.D. (PRESIDENT)
- **Authorized official phone:** (402) 731-9100

## Contact information

- **Practice address:** 4828 S 24TH ST, OMAHA, NE 68107-2703
- **Practice address phone:** (402) 731-9100
- **Practice address fax:** (402) 731-1297
- **Mailing address:** 4828 S 24TH ST, OMAHA, NE 68107-2703
- **Mailing address phone:** (402) 731-9100
- **Mailing address fax:** (402) 731-1297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18633 | NE | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/08/2013