Healthcare Provider Details

I. General information

NPI: 1477445005
Provider Name (Legal Business Name): BREANNA NICOLE FIENE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 MAIN ST
CREIGHTON NE
68729-3019
US

IV. Provider business mailing address

87184 TEJLOR LN
ONEILL NE
68763-4004
US

V. Phone/Fax

Practice location:
  • Phone: 402-358-5700
  • Fax:
Mailing address:
  • Phone: 402-336-8447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116168
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: