Provider Demographics
NPI:1437634953
Name:RIEF, JULIE ANNE (REGISTERED NURSE SCH)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:RIEF
Suffix:
Gender:F
Credentials:REGISTERED NURSE SCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 N 69TH CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2146
Mailing Address - Country:US
Mailing Address - Phone:402-344-0441
Mailing Address - Fax:
Practice Address - Street 1:1311 N 24TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-4010
Practice Address - Country:US
Practice Address - Phone:402-344-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE38883163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE38883Medicaid