IndividualActive
Tara Peterson, APRN
NPI 1235108457 · Gerontology Nurse Practitioner · Omaha, NE
Provider details
- NPI number
- 1235108457
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 110711 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057
Phone: (402) 397-7057
Fax: (402) 397-6656
Approximate (ZIP-level) locationGet directions
Mailing address
8901 Indian Hills Dr
Omaha, NE 68114-4057
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2009-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.