| Doctor Name: | MILDRED PEPPLE |
| NPI Number: | 1053432997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 110838 |
| Business Practice Address: | 11111 S 84th St Papillion, NE - 680464122 |
| Business Phone Number: | 4025933131 |
| Business Fax Number: | 4025933117 |
| Mailing Address: | Po Box 642117, OMAHA |
| State: | NE |
| Postal Code: | 681648117 |
| Phone Number: | 4027174377 |
| Fax Number: | 4027174317 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 110838 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |