NPI 1699298562 · live from the CMS NPI Registry
Timothy B Baack
Nurse Practitioner in Omaha, NE. National Provider Identifier 1699298562, active.
NPI record
| NPI | 1699298562 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 987400 Nebraska Medical Ctr, Omaha, NE 68198 |
| Practice phone | 402-559-7592 |
| Mailing address | 988102 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | July 21, 2017 |
| Last updated | July 21, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 112279 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.