MEDICARE: JULIE KAY KLAHN APRN

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	363LS0200X	School Nurse Practitioner	110212	NE

General Provider Information

NPI Number	:	1477531572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KAY KLAHN APRN

Provider Business Mailing Address
First Line	:	4920 S 30TH ST
Second Line	:	STE 103
City	:	OMAHA
State	:	NE
Zip	:	68107-1590
Country	:	US
Telephone Number	:	402-502-8846
Fax Number	:	402-991-5642

Provider Business Practice Location Address
First Line	:	4920 S 30TH ST
Second Line	:	STE 103
City	:	OMAHA
State	:	NE
Zip	:	68107-1590
Country	:	US
Telephone Number	:	402-502-8846
Fax Number	:	402-991-5642

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	12/02/2011

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