Healthcare Provider Details

I. General information

NPI: 1255979209
Provider Name (Legal Business Name): DARIAN MARIE NORDHUES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E 14TH ST
HASTINGS NE
68901-3200
US

IV. Provider business mailing address

2707 L ST
ORD NE
68862-1275
US

V. Phone/Fax

Practice location:
  • Phone: 308-382-4297
  • Fax:
Mailing address:
  • Phone: 308-728-4200
  • Fax: 308-728-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number113056
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: