Individual
KRISTEN EMODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
11922 N 173RD CIR, BENNINGTON, NE 68007-5713
(402) 201-7496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
114251
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114251
APRN-RN LICENSE NUMBER
NE
Enumeration date
06/28/2022
Last updated
06/28/2022
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