Mispa Kellypride Bih Ngantar
Mispa Kellypride Bih Ngantar is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Nebraska.
- Years since qualifying
- 3
- Licensed in
- NE
- In the registry since
- 2025
Practice location Address checks out
2919 N 153rd CirOmaha, NE 68116-8134
Phone: (402) 218-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 115849 (NE) |
|---|
Record details
| NPI number | 1518763689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2025 |
| Last updated in NPPES | February 20, 2025 |
| Certification date | February 20, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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