Individual
ELLEN MICHELLE BRIGHTWEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-6947
Mailing address
1535 S 52ND ST, LINCOLN, NE 68506-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85872
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01393894501
—
NE
Enumeration date
06/27/2022
Last updated
06/27/2022
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