Individual
JONATHAN VIRNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-7431
Mailing address
11661 TRUMBLE LOUP W, BELLEVUE, NE 68123-1182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1811078
MN
363LF0000X
Family Nurse Practitioner
Primary
9383
MN
Other
Enumeration date
01/25/2020
Last updated
02/15/2023
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