Basic Information
Provider Information
NPI: 1225041403
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOEBELHEINRICH
FirstName: KATHERINE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KABES
OtherFirstName: KATHERINE
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: 1600 S 48TH ST
Address2:  
City: LINCOLN
State: NE
PostalCode: 685061283
CountryCode: US
TelephoneNumber: 4024890200
FaxNumber:  
Practice Location
Address1: 7501 S 27TH ST
Address2:  
City: LINCOLN
State: NE
PostalCode: 685124802
CountryCode: US
TelephoneNumber: 4024816300
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/15/2006
LastUpdateDate: 08/17/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X110250NEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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