Individual
MATILDA R BEAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
4951 CENTER ST STE 200, OMAHA, NE 68106-3252
(402) 558-2500
(402) 558-5522
Mailing address
11108 HILLTOP AVE, OMAHA, NE 68164-2273
(402) 206-9772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2189
NE
Other
Enumeration date
08/06/2020
Last updated
12/09/2022
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