Individual
BROOKE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AG-ACNP-BC
Contact information
Practice address
4140 NORMAL BLVD, LINCOLN, NE 68506-5537
(515) 491-8554
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H166526
IA
363LA2100X
Acute Care Nurse Practitioner
113842
NE
363LA2100X
Acute Care Nurse Practitioner
H166526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H14050347
DRIVER'S LICENSE NUMBER
NE
Enumeration date
10/24/2021
Last updated
09/30/2024
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