NPI 1770177529 · live from the CMS NPI Registry
Mackenzie A Bargstadt, APRN
Nurse Practitioner in Omaha, NE. National Provider Identifier 1770177529, active.
NPI record
| NPI | 1770177529 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 7710 Mercy Rd Ste 3000, Omaha, NE 68124 |
| Practice phone | 402-932-1999 |
| Mailing address | 7261 Mercy Rd, Omaha, NE 68124 |
| Enumerated | February 23, 2021 |
| Last updated | February 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 113487 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.