Individual provider · Type 1 NPI

Ridley Theresa Loree, PAC

Physician Assistant · Omaha, NE

NPI number 1497431050 Active

Practice location

2725 S 144th St Ste 212
Omaha, NE 68144-5253

Fax (402) 609-3808

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X130521 (IA)
Physician Assistant Primary 363A00000X3216 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497431050

Ridley Theresa Loree, PAC's National Provider Identifier is 1497431050, issued on Jun 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Feb 26, 2025.