MEDICARE: KATHLENE REBECCA RASMUSSEN APRN-NP-C

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
1	363LF0000X	Family Nurse Practitioner	113602	NE
2	363L00000X	Nurse Practitioner	113602	NE

General Provider Information

NPI Number	:	1245808526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLENE REBECCA RASMUSSEN APRN-NP-C

Provider Business Mailing Address
First Line	:	55409 859TH RD
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767-4081
Country	:	US
Telephone Number	:	402-928-0709
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MARKET LN STE 410
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-7368
Country	:	US
Telephone Number	:	402-370-9515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	03/25/2026

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Directions to “ KATHLENE REBECCA RASMUSSEN APRN-NP-C” Practice Location

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