Individual provider · Type 1 NPI
Petrisor Tudor, PMHNP-BC, APRN, MSN
Psychiatric/Mental Health Nurse Practitioner · Omaha, NE
NPI number
1194447367
Active
Practice location
11404 W Dodge Rd Ste 300
Omaha, NE 68154-2511
Fax (402) 819-5588
Mailing address
421 S 243rd St
Waterloo, NE 68069-4704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 114357 (NE) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194447367
Petrisor Tudor, PMHNP-BC, APRN, MSN's National Provider Identifier is 1194447367, issued on Sep 14, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Omaha, NE. The record was last updated on Oct 30, 2025.