Healthcare Provider Details
I. General information
NPI: 1942739131
Provider Name (Legal Business Name): AMY NICOLE REMPE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2017
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4451
US
IV. Provider business mailing address
3768 ROAD C
SUPERIOR NE
68978-7106
US
V. Phone/Fax
- Phone: 402-463-4521
- Fax:
- Phone: 402-273-3386
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 2132 |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: