Healthcare Provider Details

I. General information

NPI: 1043103765
Provider Name (Legal Business Name): SARAH MARCIEL BEENEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W 33RD ST
KEARNEY NE
68845-3484
US

IV. Provider business mailing address

211 W 33RD ST
KEARNEY NE
68845-3484
US

V. Phone/Fax

Practice location:
  • Phone: 308-672-3483
  • Fax:
Mailing address:
  • Phone: 308-865-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number115227
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: