Individual
KAYLA GENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Mailing address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
261QM3000X
NE
Other
Enumeration date
09/11/2014
Last updated
01/28/2015
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