Individual
AMBERLY CATHERINE WAGNER-CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN, RN
Contact information
Practice address
11815 SOUTH 216TH STREET, GRETNA, NE 68028
(402) 659-3855
Mailing address
11815 SOUTH 216TH STREET, SUITE 6, GRETNA, NE 68028
(402) 659-3855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
62147
NE
363LF0000X
Family Nurse Practitioner
Primary
114610
NE
Other
Enumeration date
06/30/2021
Last updated
02/03/2023
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