Individual
KESHIA EDSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7710 MERCY RD STE 224, OMAHA, NE 68124-2346
(402) 717-0880
Mailing address
911 CREST DR, PAPILLION, NE 68046-2968
(712) 577-0851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114751
NE
363LG0600X
Gerontology Nurse Practitioner
H164918
IA
Other
Enumeration date
03/30/2023
Last updated
04/08/2024
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