Healthcare Provider Details

I. General information

NPI: 1932034980
Provider Name (Legal Business Name): LAYNEE ANN CONNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10707 PACIFIC ST STE 101
OMAHA NE
68114-4762
US

IV. Provider business mailing address

614 SHANNON RD
PAPILLION NE
68046-2030
US

V. Phone/Fax

Practice location:
  • Phone: 402-397-9800
  • Fax:
Mailing address:
  • Phone: 402-335-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number85821
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: