Healthcare Provider Details

I. General information

NPI: 1346144573
Provider Name (Legal Business Name): KATY MARIE LINDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 MERCY RD
OMAHA NE
68106-2602
US

IV. Provider business mailing address

4825 S 91ST AVENUE CIR
OMAHA NE
68127-2401
US

V. Phone/Fax

Practice location:
  • Phone: 402-915-6659
  • Fax:
Mailing address:
  • Phone: 402-297-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number117267
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: