Alegent Health Bergan Mercy Health System

NPI #1982773776 in Omaha, Nebraska

Provider Information

NPI Number: 1982773776
Entity Type: Organization
Organization Name: Alegent Health Bergan Mercy Health System
Subpart: Yes (part of a larger organization)
Parent Organization: CHI NEBRASKA
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 7, 2006
Last Updated: Dec 21, 2016

Practice Location

Address: 12809 W DODGE RD
City: Omaha
State: Nebraska
ZIP Code: 68154-2155
Phone: (402) 398-6255

Authorized Official

Name: KEITH JANKUSKI
Title: COO
Phone: (402) 343-4409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Nurse Practitioner	363L00000X	Primary

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