MEDICARE: LORETTA HILGENKAMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RO97332	AR

General Provider Information

NPI Number	:	1154712628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA HILGENKAMP

Provider Business Mailing Address
First Line	:	20703 COUNTY ROAD 24
Second Line	:
City	:	ARLINGTON
State	:	NE
Zip	:	68002-5124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20703 COUNTY ROAD 24
Second Line	:
City	:	ARLINGTON
State	:	NE
Zip	:	68002-5124
Country	:	US
Telephone Number	:	303-501-4401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	02/05/2015

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Directions to “ LORETTA HILGENKAMP ” Practice Location

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