Individual
DR. VICKI D THOMAS CARLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, APRN
Contact information
Practice address
9905 SAPP BROTHERS DR, OMAHA, NE 68138-3951
(402) 690-0475
Mailing address
7003 N 89TH AVE, OMAHA, NE 68122-5224
(402) 690-0475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2023
NE
363LX0106X
Occupational Health Nurse Practitioner
Primary
2023
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023
APRN STATE LICENSE
NE
Enumeration date
12/02/2017
Last updated
03/17/2018
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