Healthcare Provider Details

I. General information

NPI: 1083534309
Provider Name (Legal Business Name): SAMANTHA RENAE KARR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 7TH ST
AURORA NE
68818-1141
US

IV. Provider business mailing address

4216 KAY AVE
GRAND ISLAND NE
68803-1419
US

V. Phone/Fax

Practice location:
  • Phone: 402-684-3171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number117054
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: