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NPI Code Detail

MEDICARE: ANGELA CLABORN APRN

MEDICARE: ANGELA CLABORN 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
1363LA2100XAcute Care Nurse Practitioner113121NE

General Provider Information

NPI Number : 1558719989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA CLABORN APRN
Provider Business Mailing Address
First Line : 235 N 3RD ST
Second Line :
City : LYONS
State : NE
Zip : 68038-2587
Country : US
Telephone Number : 760-590-7804
Fax Number :
Provider Business Practice Location Address
First Line : 1299 FARNAM ST STE 300
Second Line :
City : OMAHA
State : NE
Zip : 68102-1857
Country : US
Telephone Number : 760-590-7804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 04/14/2025

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