Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Endeveren Family Medicine LLC

Organization Internal Medicine Physician · NPI 1023257763

Endeveren Family Medicine LLC is an Internal Medicine Physician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3015 N 90th St Ste 1
Omaha, NE 68134-4713
Phone: (402) 453-6869
Fax: (402) 961-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 22626 (NE)
Pediatrics Physician Taxonomy 208000000X · Licence 22626 (NE)

Record details

NPI number1023257763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nichelle Horton-Brown — Sole Member · (402) 453-6869
NPI enumeratedFebruary 18, 2009
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address3015 N 90th St Ste 1, Omaha, NE 68134-4713

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