MEDICARE: DR. KIMBERLY MUMAUGH LENIHAN PHD, APRN-NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	110277	NE

General Provider Information

NPI Number	:	1477535730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY MUMAUGH LENIHAN PHD, APRN-NP

Provider Business Mailing Address
First Line	:	2530 N 150TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-5130
Country	:	US
Telephone Number	:	402-276-0294
Fax Number	:

Provider Business Practice Location Address
First Line	:	8550 INDIAN HILLS DR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4070
Country	:	US
Telephone Number	:	402-955-4710
Fax Number	:

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/08/2026

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