Organization · Type 2 NPI

Alegent Health Bergan Mercy Health System

Critical Care Neonatal Nurse Practitioner · Omaha, NE

NPI number 1770854663 Active

Practice location

12809 W Dodge Rd
Omaha, NE 68154-2155

Fax (402) 343-4389

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Critical Care Neonatal Nurse Practitioner Primary	363LN0005X	None listed

Critical Care Neonatal Nurse Practitioner: Definition to come...

5 other providers at this address

NPI record

NPI: 1770854663
Entity type: Organization (Type 2)
Issued: Jan 24, 2012
Last updated: Feb 10, 2022
Status: Active

Other names

<unavail>
Alegent Health Bergan Mercy Medical Center Professional Services · doing business as
Alegent Health Bergan Mercy Medical Center Professional Services · doing business as

Authorized official

Evert Kuiper
CEO
(402) 343-4420

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1770854663

Alegent Health Bergan Mercy Health System's National Provider Identifier is 1770854663, issued on Jan 24, 2012. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Omaha, NE. The record was last updated on Feb 10, 2022.