Healthcare Provider Details

I. General information

NPI: 1932853280
Provider Name (Legal Business Name): KAYLA NEEMANN MSN, APRN, AGNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S 70TH ST STE 435
LINCOLN NE
68510-2463
US

IV. Provider business mailing address

575 S 70TH ST STE 435
LINCOLN NE
68510-2463
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-8770
  • Fax:
Mailing address:
  • Phone: 402-219-8770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number114021
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: