| Lisa Marie Bruha, | |
| 
					46725 809th Rd, Ord, NE 68862-5330  | |
| (308) 730-1100 | |
| Not Available | 
| Full Name | Lisa Marie Bruha | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 46725 809th Rd, Ord, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992353965 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 112521 (Nebraska) | Primary | 
| Entity Name | Alegent Creighton Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Marie Bruha, 46725 809th Rd, Ord, NE 68862-5330 Ph: (308) 730-1100  | Lisa Marie Bruha, 46725 809th Rd, Ord, NE 68862-5330 Ph: (308) 730-1100  | 
Jane A Meyer, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 L St, Ord, NE 68862 Phone: 308-728-4202 Fax: 308-728-3500  | |
Johanna Vollertsen,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 L St, Ord, NE 68862 Phone: 308-728-4202 Fax: 308-728-3500  | |
Dion Douglas Machard, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 L St Ste 1, Ord, NE 68862 Phone: 308-728-4202 Fax: 308-728-3500  | |
Jenna A Hilker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 L St, Ord, NE 68862 Phone: 308-728-4200 Fax: 308-728-3500  | |
Tessa Marie Welniak, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2707 L St Ste 1, Ord, NE 68862 Phone: 308-728-4202 Fax: 308-728-3500  | |
Kelly Ann Geweke, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2707 L St, Suite 1, Ord, NE 68862 Phone: 308-728-4202 Fax: 308-728-3500  |