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Individual

BRENNA KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4531
Mailing address
5812 N 131ST ST, OMAHA, NE 68164-1304
(402) 203-6763

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77317
NE

Other

Enumeration date
07/09/2024
Last updated
07/09/2024
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