Healthcare Provider Details

I. General information

NPI: 1245870369
Provider Name (Legal Business Name): LAUREN P KLEIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN P BOWKER APRN

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N ALPHA ST
GRAND ISLAND NE
68803-4320
US

IV. Provider business mailing address

2222 S 16TH ST STE 400A
LINCOLN NE
68502-3785
US

V. Phone/Fax

Practice location:
  • Phone: 308-394-7200
  • Fax:
Mailing address:
  • Phone: 402-483-8590
  • Fax: 402-483-8599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number75421
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number113082
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: