Healthcare Provider Details

I. General information

NPI: 1780042218
Provider Name (Legal Business Name): NICOLE BEHRING APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 01/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 48TH ST
LINCOLN NE
68506-1283
US

IV. Provider business mailing address

1441 BENTON ST
LINCOLN NE
68521-1631
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-7333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number111878
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: