Wellformed AI

NPI 1063831360 · live from the CMS NPI Registry

Karen Bagniewski

Nurse Practitioner in Omaha, NE. National Provider Identifier 1063831360, active.

NPI record

NPI1063831360 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location8901 W Dodge Rd, Omaha, NE 68114
Practice phone402-354-1700
Mailing addressPo Box 3755, Omaha, NE 68103
EnumeratedApril 15, 2014
Last updatedSeptember 3, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000X111394 (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.