Rose Mary Braun

Individual provider Active NPI School Registered Nurse · Omaha, NE

NPI 1407375124 · NPPES record last updated Sep 13, 2017

Key facts

NPI
1407375124
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
30177 (NE)
Practice address
5606 S 147TH St
Omaha, NE 68137-2648
Phone
(402) 715-8200
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30177NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Public Schools Past
since Nov 10, 2024
Accepting new patients
Millard Public Schools Past
since Aug 7, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 30177 NE Yes

Addresses

Primary practice location

5606 S 147TH St
Omaha, NE 68137-2648

Mailing address

5606 S 147TH St
Omaha, NE 68137-2648

Other providers in Omaha, NE

All providers in Omaha, NE · School Registered Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.