Individual
MS. BECCA ELISE ENGELKEMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP-C
Contact information
Practice address
4930 S 30TH ST, OMAHA, NE 68107-1521
(402) 734-4110
(402) 734-3990
Mailing address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120062
NE
363LF0000X
Family Nurse Practitioner
111733
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341091
—
TN
Enumeration date
11/01/2006
Last updated
10/15/2014
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