Individual
CARRI J SIEDLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-9800
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-9800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
50037
NE
363LA2200X
Adult Health Nurse Practitioner
Primary
111057
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50037
NEBRASKA STATE LICENSE
NE
Enumeration date
07/15/2009
Last updated
01/07/2015
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