Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F01181437 | NE |
NPI | 1003315383 |
---|---|
Provider Name | Mrs. Cassady T Turregano |
First Address | Papillion, NE 68046-4274 |
Second Address | Omaha, NE 68107-2715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2018 |
Last Update Date | 01/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F01181437 | AANP (01) | NE |