NPI 1376153197 · live from the CMS NPI Registry
Matilda R Beaudette, MSN, FNP
Nurse Practitioner, Family in Omaha, NE. National Provider Identifier 1376153197, active.
NPI record
| NPI | 1376153197 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4951 Center St Ste 200, Omaha, NE 68106 |
| Practice phone | 402-558-2500 |
| Mailing address | 11108 Hilltop Ave, Omaha, NE 68164 |
| Enumerated | August 6, 2020 |
| Last updated | December 9, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 2189 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.