Individual
MS. WENDY L PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4424
(402) 354-4435
Mailing address
10020 NICHOLAS ST, OMAHA, NE 68114-2189
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154430080
—
IA
05
—
47037660412
—
NE
Enumeration date
08/30/2006
Last updated
05/11/2020
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