Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 111319 | NE |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 111319 | NE |
NPI | 1356610422 |
---|---|
Provider Name | Megan C Falke |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-7400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2011 |
Last Update Date | 09/11/2016 |