Individual
ANNA SKORUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4920 S 30TH ST STE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Mailing address
4920 S 30TH ST STE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115005
NE
363LF0000X
Family Nurse Practitioner
2013038960
MO
363LF0000X
Family Nurse Practitioner
C5051016
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200579180A
—
OK
Enumeration date
11/13/2013
Last updated
10/23/2023
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