Provider Demographics
NPI:1184351983
Name:HOLCOMB RANKIN, HEIDI ANNE MARIE (RN BSN)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:ANNE MARIE
Last Name:HOLCOMB RANKIN
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15922 JONES CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2163
Mailing Address - Country:US
Mailing Address - Phone:402-740-9768
Mailing Address - Fax:
Practice Address - Street 1:12200 BURKE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2399
Practice Address - Country:US
Practice Address - Phone:531-299-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE58418163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool