Individual
MARIE H BELGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2360
(402) 354-2440
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111415
NE
363L00000X
Nurse Practitioner
L132325
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770891830
—
IA
05
—
470687317-16
—
NE
Enumeration date
09/22/2010
Last updated
06/14/2016
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