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NPI Code Detail

MEDICARE: DIANNA M CLYNE M.D.

MEDICARE: DIANNA M CLYNE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician18318NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1345911000OTHERNEMAGELLAN
235147OTHERNEBCBS

General Provider Information

NPI Number : 1114035938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA M CLYNE M.D.
Provider Business Mailing Address
First Line : 6500 HOLDREGE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-1673
Country : US
Telephone Number : 402-476-7557
Fax Number : 402-769-9912
Provider Business Practice Location Address
First Line : 6500 HOLDREGE ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-1673
Country : US
Telephone Number : 402-476-7557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 12/16/2025

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