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Individual

ALEXEI BOETTCHER ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-NP

Contact information

Practice address
312 OLSON DR, PAPILLION, NE 68046-2978
(402) 933-6300
Mailing address
20711 FOWLER AVE, ELKHORN, NE 68022-2665
(402) 910-3593

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113061
NE
363L00000X
Nurse Practitioner
A162560
IA
363LF0000X
Family Nurse Practitioner
113061
NE

Other

Enumeration date
02/19/2020
Last updated
02/24/2021
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