Individual
REBECCA L. NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CDE, APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-8797
(402) 354-5651
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
42009
NE
363L00000X
Nurse Practitioner
110904
NE
363LF0000X
Family Nurse Practitioner
Primary
110904
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110904
APRN LICENSE
NE
05
—
1568665206
—
IA
01
—
42009
RN LICENSE
NE
05
—
470376604-32
—
NE
Enumeration date
06/08/2007
Last updated
11/02/2015
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