Individual
JANELLE DEPUYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13435 A ST, OMAHA, NE 68144-3658
(402) 697-3923
Mailing address
13435 A ST, OMAHA, NE 68144-3658
(402) 697-3923
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
172V00000X-COMMUNITY HEALTH WORKER
NE
Enumeration date
11/08/2015
Last updated
03/14/2016
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