Healthcare Provider Details

I. General information

NPI: 1881510246
Provider Name (Legal Business Name): BREANN MARIE KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 W M CT
LINCOLN NE
68522-1006
US

IV. Provider business mailing address

5812 TANGEMAN TER APT 6
LINCOLN NE
68505-1790
US

V. Phone/Fax

Practice location:
  • Phone: 402-325-8555
  • Fax:
Mailing address:
  • Phone: 402-875-3712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: