Healthcare Provider Details

I. General information

NPI: 1801031869
Provider Name (Legal Business Name): WAUNETA I KEMPF APRN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6891 A ST STE 210
LINCOLN NE
68510-4197
US

IV. Provider business mailing address

1550 S 70TH ST STE 202
LINCOLN NE
68506-1576
US

V. Phone/Fax

Practice location:
  • Phone: 402-730-6870
  • Fax: 402-420-6464
Mailing address:
  • Phone: 402-328-8833
  • Fax: 402-328-2921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110679
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: