IndividualActive
Shelly Retikis
NPI 1831670165 · Gerontology Nurse Practitioner · Omaha, NE
Provider details
- NPI number
- 1831670165
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 112569 (NE)
Mailing address
4101 Woolworth Ave
Omaha, NE 68105-1850
Registry dates
- Enumerated
- 2018-08-24
- Last updated
- 2018-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.