Individual
ANN EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17030 LAKESIDE HILLS PLZ, SUITE 204, OMAHA, NE 68130-2396
(402) 758-5600
(402) 758-5169
Mailing address
17030 LAKESIDE HILLS PLZ, SUITE 204, OMAHA, NE 68130-2396
(402) 758-5600
(402) 758-5169
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
20857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-00173
UNITED HEALTHCARE
—
05
—
2513028
—
IA
01
—
34176
BCBS
NE
05
—
47083434300
—
NE
Enumeration date
06/03/2006
Last updated
05/13/2010
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