Individual
KAREN BAGNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3327
(402) 354-1700
(402) 354-2055
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111394
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026301600
—
NE
05
—
1063831360
—
IA
05
—
47068731799
—
NE
Enumeration date
04/15/2014
Last updated
09/03/2015
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