Female

Susan J. Caniglia APRN

Nurse Practitioner in Elkhorn, NE(View on Map)

Full Name

Susan J Caniglia APRN

NPI Number

1710214887

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/11/2009

Specialties

(Taxonomies)

Code

363L00000X
363LW0102X

Primary Taxonomy

Yes
No

Licenses

State

Nebraska

License Number

111045

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3755
717 N 190TH PLZ

City

Omaha
Elkhorn

State

NE
NE

Postal Code

68103-0755
68022-3913

Country

US
US

Telephone Number

(402) 354-2100
(402) 354-1700

Identifiers

Identifier

47068731799
1710214887
10026301600
10026480100

Identifier State

NE
NE
NE
NE

Identifier Issuer

Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/03/2015

Provider Address

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