Organization
NEBRASKA SPECIALTY NETWORK, LLC
Active
Organization
NEBRASKA SPECIALTY NETWORK, LLC
Active
Other names
Nebraska Heart Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI LYNE-ULRICH (CREDENTIALING SPECIALIST)
(402) 328-4572
Entity
Organization
Contact information
Practice address
2000 Q ST STE 501, LINCOLN, NE 68503-3610
(402) 328-4572
(402) 421-0946
Mailing address
2000 Q ST STE 501, LINCOLN, NE 68503-3610
(402) 328-4572
(402) 421-0946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072000
—
NE
05
—
10026072200
—
NE
05
—
10026072300
—
NE
05
—
10026072400
—
NE
05
—
10026072500
—
NE
05
—
10026072600
—
NE
05
—
10026072700
—
NE
05
—
10026283500
—
NE
05
—
10026380000
—
NE
Enumeration date
05/31/2011
Last updated
08/02/2019
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