Organization · Type 2 NPI

Renewed Health Outreach, LLC

Nurse Practitioner · Lincoln, NE

NPI number 1104742634 Active

Practice location

3510 Village Dr Ste B
Lincoln, NE 68516-5363

Fax (402) 739-8915

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104742634

Renewed Health Outreach, LLC's National Provider Identifier is 1104742634, issued on Jun 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lincoln, NE. The record was last updated on Jun 29, 2026.