Organization
ENDEVEREN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHELLE REE HORTON-BROWN M.D. (SOLE MEMBER)
(402) 453-6869
Entity
Organization
Contact information
Practice address
3015 N 90TH ST STE 1, OMAHA, NE 68134-4713
(402) 453-6869
(402) 961-1055
Mailing address
3015 N 90TH ST STE 1, OMAHA, NE 68134-4713
(402) 453-6869
(402) 961-1055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22626
NE
208000000X
Pediatrics Physician
22626
NE
Other
Enumeration date
02/18/2009
Last updated
09/12/2023
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