Individual
RYAN POLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 290-3219
Mailing address
2137 N 121ST ST, OMAHA, NE 68164-3407
(402) 290-3219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113868
NE
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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