Healthcare Provider Details

I. General information

NPI: 1659008415
Provider Name (Legal Business Name): KRISTINA LYNN ZIEGENBEIN REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINA LYNN HINTZ LPN

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S 48TH ST
LINCOLN NE
68510-4812
US

IV. Provider business mailing address

8635 LEXINGTON AVE
LINCOLN NE
68505-3079
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-1215
  • Fax:
Mailing address:
  • Phone: 531-739-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number55388
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: