Individual
AMANDA G. HANTOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
(402) 397-7591
Mailing address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
(402) 397-7591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
116276
NE
Other
Enumeration date
11/10/2025
Last updated
12/30/2025
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