MEDICARE: SARA KARENE KLEIN 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	363LA2100X	Acute Care Nurse Practitioner	110787	NE

General Provider Information

NPI Number	:	1629082664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA KARENE KLEIN APRN

Provider Business Mailing Address
First Line	:	7441 O ST STE 304
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2466
Country	:	US
Telephone Number	:	402-484-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7441 O ST STE 304
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2466
Country	:	US
Telephone Number	:	402-484-5600
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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