MEDICARE: TINA M VEST MSN, APRN, BC

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	101YM0800X	Mental Health Counselor	110505	NE
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	110505	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962487173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA M VEST MSN, APRN, BC

Provider Business Mailing Address
First Line	:	2935 PINE LAKE RD
Second Line	:	SUITE F
City	:	LINCOLN
State	:	NE
Zip	:	68516-6009
Country	:	US
Telephone Number	:	402-817-0897
Fax Number	:	402-817-0901

Provider Business Practice Location Address
First Line	:	2935 PINE LAKE RD
Second Line	:	SUITE F
City	:	LINCOLN
State	:	NE
Zip	:	68516-6009
Country	:	US
Telephone Number	:	402-817-0897
Fax Number	:	402-817-0901

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	04/03/2014

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