Basic Information
| Provider Information | |||||||||
| NPI: | 1205241411 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KREIFELS | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8511 AUGUSTA DR | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685269572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028752501 | ||||||||
| FaxNumber: | 8889650959 | ||||||||
| Practice Location | |||||||||
| Address1: | 277 E 17TH ST | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 684465000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022692411 | ||||||||
| FaxNumber: | 4022693369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2014 | ||||||||
| LastUpdateDate: | 01/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 111694 | NE | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | 111694 | NE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.