Individual
WATTANA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 FARNAM ST STE 650, OMAHA, NE 68131-2813
(402) 596-4200
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112314
NE
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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