Most Relevant Information
Provider Data
| NPI Number: | 1003543679 |
| Provider Name: | OLIVIA B TEDESCO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0005X |
| Specialty: | Nurse Practitioner |
| License Number: | 114318 |
Most Important Dates
| Enumeration Date: | 08/04/2022 |
| Last Updated: | 08/04/2022 |
Provider Practice Location
7500 MERCY RD
OMAHA
NE
681242319
Practice Location Phone/Fax
| Phone: | 4023986014 |
| Fax: | 4023986983 |
Provider Mailing Location
7261 MERCY RD
OMAHA
NE
681242311
Provider Mailing Phone/Fax
| Phone: | 4023986248 |
| Fax: | 4023986983 |