Individual
MEGHAN R POTTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-8053
Mailing address
683 J E GEORGE BLVD, OMAHA, NE 68132-1963
(402) 955-8053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
110817
NE
Other
Enumeration date
05/10/2007
Last updated
07/23/2012
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