Provider Demographics
NPI:1871268276
Name:POJAR, COLLEEN JORDAN (RN)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:JORDAN
Last Name:POJAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:MARGARET
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:717 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2139
Mailing Address - Country:US
Mailing Address - Phone:531-299-2040
Mailing Address - Fax:
Practice Address - Street 1:717 N 32ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2139
Practice Address - Country:US
Practice Address - Phone:531-299-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE76613163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool