Individual
MRS. COLLEEN E SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3410 N 156TH ST, ATTN: QUICK CARE, OMAHA, NE 68116-2020
(800) 253-4368
(402) 614-5733
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
110878
NE
363LP2300X
Primary Care Nurse Practitioner
Primary
110878
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098611197
MEDICARE PTAN
NE
Enumeration date
05/08/2008
Last updated
05/20/2021
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