Individual
STEFANIE L KAMMRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
(402) 955-3674
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
112882
NE
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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