Provider Demographics
NPI:1093784506
Name:REBENSDORF, MARGARET (APRN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:REBENSDORF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17445 ARBOR STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130
Mailing Address - Country:US
Mailing Address - Phone:531-444-1206
Mailing Address - Fax:402-445-7033
Practice Address - Street 1:8303 DODGE STREET
Practice Address - Street 2:SUITE 250
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114
Practice Address - Country:US
Practice Address - Phone:402-354-8124
Practice Address - Fax:402-354-8127
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE110399363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47077295213Medicaid
NE275556Medicare ID - Type Unspecified
P59835Medicare UPIN