Individual
KELLY EGLSEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2917
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114987
NE
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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