SHELLY RETIKIS NPI 1831670165

NPI Information

NPI: 1831670165
Provider Name: SHELLY RETIKIS
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
4101 WOOLWORTH AVE
OMAHA, NE
ZIP 68105
Phone: (402) 995-3800
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Shelly Retikis is a gerontology nurse practitioner in Omaha, NE. Shelly Retikis NPI is 1831670165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 WOOLWORTH AVE
OMAHA, NE
ZIP 68105-850
Phone: (402) 995-3800

The enumeration date for this NPI number is 8/24/2018 and was last updated on 8/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	112569	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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