Healthcare Provider Details

I. General information

NPI: 1083400832
Provider Name (Legal Business Name): SAMANTHA LYNN ARNETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 R ST
LINCOLN NE
68503-3799
US

IV. Provider business mailing address

1835 S 77TH ST
LINCOLN NE
68506-1804
US

V. Phone/Fax

Practice location:
  • Phone: 402-465-4545
  • Fax:
Mailing address:
  • Phone: 402-380-6399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number115801
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: