Basic Information
| Provider Information | |||||||||
| NPI: | 1235209941 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUFMAN | ||||||||
| FirstName: | CELESTE | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 N 29TH ST | ||||||||
| Address2: | STE. 301 | ||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687014461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028448284 | ||||||||
| FaxNumber: | 4026447505 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 N 29TH ST | ||||||||
| Address2: | STE. 301 | ||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687014461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028448284 | ||||||||
| FaxNumber: | 4026447505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 26446 | NE | X | Nursing Service Providers | Registered Nurse | 363L00000X | 110821 | NE | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.