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NPI Code Detail

MEDICARE: KRISTINE GATLIN APRN PMHNP BC

MEDICARE: KRISTINE GATLIN APRN PMHNP BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner115673NE

General Provider Information

NPI Number : 1639990278
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE GATLIN APRN PMHNP BC
Provider Business Mailing Address
First Line : 3201 PIONEERS BLVD STE 206
Second Line :
City : LINCOLN
State : NE
Zip : 68502-5963
Country : US
Telephone Number : 402-224-6884
Fax Number : 402-702-0598
Provider Business Practice Location Address
First Line : 3201 PIONEERS BLVD STE 206
Second Line :
City : LINCOLN
State : NE
Zip : 68502-5963
Country : US
Telephone Number : 402-224-6884
Fax Number : 402-702-0598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2024
Last Update Date : 03/12/2026

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