Individual
JENNIFER TREADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1701 HARDWOOD DR, PAPILLION, NE 68046-4502
(402) 898-0405
Mailing address
8001 S 94TH ST, LA VISTA, NE 68128-2888
(402) 290-7667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54931
NE
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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