Basic Information
| Provider Information | |||||||||
| NPI: | 1801031869 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KEMPF | ||||||||
| FirstName: | WAUNETA | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1550 S 70TH ST | ||||||||
| Address2: | STE 202 | ||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685061576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023288833 | ||||||||
| FaxNumber: | 4023282921 | ||||||||
| Practice Location | |||||||||
| Address1: | 6891 A ST | ||||||||
| Address2: | STE 210 | ||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685104197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027306870 | ||||||||
| FaxNumber: | 4024206464 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2008 | ||||||||
| LastUpdateDate: | 07/14/2010 | ||||||||
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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 | 363LF0000X | 110679 | NE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | N/A | 01 | NE | MIDLANDS CHOICE | OTHER | N/A | 01 | NE | COVENTRY | OTHER | 10025220500 | 05 | NE | MEDICAID | 24441 | 01 | NE | BCBS | OTHER |