Healthcare Provider Details

I. General information

NPI: 1134902729
Provider Name (Legal Business Name): KRISTIN SCHELLPEPER APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN STILES

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 ANDERMATT DR
LINCOLN NE
68526-9769
US

IV. Provider business mailing address

9110 ANDERMATT DR STE 2
LINCOLN NE
68526-9769
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-7641
  • Fax: 402-483-0527
Mailing address:
  • Phone: 402-483-7641
  • Fax: 402-483-0527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number120104
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: