Provider Demographics
NPI:1124292164
Name:PATERA, EMILY F (APRN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:F
Last Name:PATERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:F
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20911 POPPLETON CIR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13911 GOLD CIR STE 120
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2376
Practice Address - Country:US
Practice Address - Phone:531-721-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE61954163W00000X
NE110952363LF0000X, 363L00000X
IA119997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1124292164Medicaid
IA119997OtherAPRN
NE47037660425Medicaid
IA11242942164Medicaid
NE42068035512Medicaid
NE110952OtherAPRN
NE42068035512Medicaid
IA11242942164Medicaid