Organization
COMPLETE RURAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA ROSA TAYLOR NP (APRN, FNP-C)
(402) 802-5711
Entity
Organization
Contact information
Practice address
515 2ND ST, FRIEND, NE 68359-1305
(402) 802-5711
Mailing address
515 2ND ST, FRIEND, NE 68359-1305
(308) 646-2471
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112291
STATE
NE
01
—
112294
STATE LICENSE
NE
Enumeration date
03/07/2019
Last updated
05/09/2019
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