NPI 1417425968 · live from the CMS NPI Registry
Lea Renee Barajas-Deloa, APRN
Nurse Practitioner, Pediatrics in Omaha, NE. National Provider Identifier 1417425968, active.
NPI record
| NPI | 1417425968 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 8200 Dodge St, Omaha, NE 68114 |
| Practice phone | 402-955-5372 |
| Enumerated | November 2, 2018 |
| Last updated | November 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 112545 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.