NPI 1134616212 · live from the CMS NPI Registry
Advanced Mobile Medicine LLC
Nurse Practitioner, Gerontology in Bellevue, NE. National Provider Identifier 1134616212, active.
NPI record
| NPI | 1134616212 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Gerontology 363LG0600X |
| Practice location | 1902 Harlan Dr, Bellevue, NE 68005 |
| Practice phone | 402-934-3886 |
| Enumerated | April 15, 2018 |
| Last updated | November 28, 2022 |
| Authorized official | Reggie Ripple, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | 111120 (NE) |
| Nurse Practitioner, Gerontology primary | 363LG0600X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.