Basic Information
| Provider Information | |||||||||
| NPI: | 1528496213 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YUNGHANS | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | AGNES | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8020 O ST | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685102561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024886370 | ||||||||
| FaxNumber: | 4024884393 | ||||||||
| Practice Location | |||||||||
| Address1: | 8020 O ST | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685102561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024886370 | ||||||||
| FaxNumber: | 4024884393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2013 | ||||||||
| LastUpdateDate: | 10/04/2017 | ||||||||
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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 | 85270 | NE | N | Nursing Service Providers | Registered Nurse | 163W00000X | 96158 | KS | N | Nursing Service Providers | Registered Nurse | 163W00000X | 2009038610 | MO | N | Nursing Service Providers | Registered Nurse | 367A00000X | 76015 | KS | N | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | 367A00000X | 120072 | NE | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.