Healthcare Provider Details

I. General information

NPI: 1386154078
Provider Name (Legal Business Name): CINDY LOU KATHMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2017
Last Update Date: 10/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4451
US

IV. Provider business mailing address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4451
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-4521
  • Fax: 402-461-5091
Mailing address:
  • Phone: 402-463-4521
  • Fax: 402-461-5091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112305
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: