Individual
DR. GINA DIRENZO-COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14080 HOSPITAL RD, BOYS TOWN, NE 68010-7513
(402) 778-6900
(402) 778-6917
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21462
NE
2080P0206X
Pediatric Gastroenterology Physician
21462
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03484
BCBS
NE
05
—
0538587
—
IA
05
—
1200589
—
NE
05
—
1200597
—
NE
05
—
1200598
—
NE
05
—
1200599
—
NE
05
—
1200600
—
NE
05
—
1201446
—
NE
05
—
1201455
—
NE
05
—
1538587
—
IA
05
—
2538587
—
IA
01
—
35173
MIDLANDS CHOICE
NE
Enumeration date
12/26/2006
Last updated
02/13/2013
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