Individual
KIERSTEN LEIGHA LONGCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP/APRN
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-2000
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114315
NE
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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