Individual
BRIAHNA CHANELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8343 S 168TH AVE, OMAHA, NE 68136-1677
(402) 559-0444
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112909
NE
363LF0000X
Family Nurse Practitioner
112909
NE
Other
Enumeration date
08/08/2019
Last updated
11/20/2020
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