Individual
BRANDI GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 280-2700
Mailing address
610 LEISURE LN, HASTINGS, NE 68901-2564
(402) 984-5589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112963
NE
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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