Individual
AMANDA DELISE HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-2528
Mailing address
1907 E AVE, KEARNEY, NE 68847-6236
(816) 266-0060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
114057
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114057
NE
Other
Enumeration date
03/03/2019
Last updated
04/07/2026
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