NPI 1629208608 · live from the CMS NPI Registry
Tanna Lynn Anderson, APRN-NP
Nurse Practitioner, Neonatal in Omaha, NE. National Provider Identifier 1629208608, active.
NPI record
| NPI | 1629208608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Neonatal 363LN0000X |
| Practice location | 987740 Nebraska Medical Ctr, Neonatal Intensive Care Unit, Omaha, NE 68198 |
| Practice phone | 402-559-4442 |
| Mailing address | 12055 Grant St, Omaha, NE 68164 |
| Enumerated | July 23, 2009 |
| Last updated | July 23, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Neonatal primary | 363LN0000X | 111041 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.