Individual
JOHANNA GNIFFKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 930-7484
Mailing address
1301 N 97TH CIR, OMAHA, NE 68114-2158
(402) 415-5784
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
63567
NE
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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