Individual
JAMIE R STAAB-PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7000
Mailing address
4600 S 86TH CT, LINCOLN, NE 68526-9209
(402) 444-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111117
NE
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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