Individual
ELLEN MARIE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-4364
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-4364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111052
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111052
STATE LICENSE
NE
Enumeration date
09/15/2009
Last updated
06/28/2011
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