Healthcare Provider Details

I. General information

NPI: 1851742506
Provider Name (Legal Business Name): CLARA JEAN FYNBU EGGERT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 70TH ST STE 230
LINCOLN NE
68510-2469
US

IV. Provider business mailing address

301 S 70TH ST
LINCOLN NE
68510-2469
US

V. Phone/Fax

Practice location:
  • Phone: 402-656-6644
  • Fax:
Mailing address:
  • Phone: 402-656-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112038
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number112038
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: