Healthcare Provider Details

I. General information

NPI: 1134228216
Provider Name (Legal Business Name): TONYA K JOACHIMSEN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W DARLENE ST
HARTINGTON NE
68739-4806
US

IV. Provider business mailing address

PO BOX 937
HARTINGTON NE
68739-0937
US

V. Phone/Fax

Practice location:
  • Phone: 402-254-3935
  • Fax: 402-254-2393
Mailing address:
  • Phone: 402-254-3935
  • Fax: 402-254-2393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110816
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: