Individual
MS. KATHLEEN ANN DE ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(402) 977-5641
Mailing address
808 N 74TH AVE, OMAHA, NE 68114-3112
(402) 346-8800
(402) 977-5641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45036
KS
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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