Individual provider · Type 1 NPI
Shelly Retikis
Gerontology Nurse Practitioner · Omaha, NE
NPI number
1831670165
Active
Practice location
4101 Woolworth Ave
Omaha, NE 68105-1850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 112569 (NE) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1831670165
Shelly Retikis's National Provider Identifier is 1831670165, issued on Aug 24, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Omaha, NE. The record was last updated on Aug 24, 2018.