Individual
MS. BARBARA ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 U ST, OMAHA, NE 68107-3378
(531) 299-8172
(531) 299-1608
Mailing address
3121 U ST, OMAHA, NE 68107-3378
(531) 299-8172
(531) 299-1608
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
51201
NE
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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