Individual provider · Type 1 NPI
Edi Koffi Anthony, RN
Administrator Registered Nurse · Omaha, NE
NPI number
1992504740
Active
Practice location
4205 S 96th St
Omaha, NE 68127-1259
Fax (531) 242-4429
Mailing address
6623 N 102nd Ave
Omaha, NE 68122-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 69402 (NE) |
Administrator Registered Nurse: Definition to come...
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About NPI 1992504740
Edi Koffi Anthony, RN's National Provider Identifier is 1992504740, issued on Mar 12, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Omaha, NE. The record was last updated on Mar 12, 2025.