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Individual

BRIDGET BRODECKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
4004 PIONEER WOODS DR, LINCOLN, NE 68506-7548
(402) 484-4900
(402) 484-6456
Mailing address
4004 PIONEER WOODS DR, LINCOLN, NE 68506-7548
(402) 484-4900
(402) 484-6456

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
50262
NE
363L00000X
Nurse Practitioner
Primary
111681
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871913392
NE
Enumeration date
04/23/2014
Last updated
02/25/2021
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