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NPI Code Detail

MEDICARE: CYNTHIA ANN KILDARE APRN NP- C

MEDICARE:   CYNTHIA ANN KILDARE  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
1363LF0000XFamily Nurse Practitioner111159NE

Other Identifiers

General Provider Information

NPI Number : 1407160112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN KILDARE APRN NP- C
Provider Business Mailing Address
First Line : 1819 FARNAM ST
Second Line : SUITE 709
City : OMAHA
State : NE
Zip : 68183-1000
Country : US
Telephone Number : 402-717-0710
Fax Number : 402-717-0711
Provider Business Practice Location Address
First Line : 1819 FARNAM ST
Second Line : ALEGENT CREIGHTON HEALTH CLINIC
City : OMAHA
State : NE
Zip : 68183-1000
Country : US
Telephone Number : 402-717-0710
Fax Number : 402-717-0711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 09/10/2012

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Directions to “ CYNTHIA ANN KILDARE APRN NP- C” Practice Location

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