Individual
MRS. PRISCILLA M CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4828 S 24TH ST, OMAHA, NE 68107-2703
(402) 731-9100
(402) 731-1297
Mailing address
4828 S 24TH ST, OMAHA, NE 68107-2703
(402) 731-9100
(402) 731-1297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18633
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996959
—
IA
05
—
47080940101
—
NE
Enumeration date
01/18/2006
Last updated
05/08/2013
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