Provider Demographics
NPI:1366969677
Name:GOERING, KARI LYNN (APRN)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:GOERING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8560 FOXTAIL DR. SUITE #101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526
Mailing Address - Country:US
Mailing Address - Phone:402-484-5144
Mailing Address - Fax:
Practice Address - Street 1:5800 HIDCOTE DR STE 103
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5536
Practice Address - Country:US
Practice Address - Phone:402-484-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE75532163W00000X
NE112328363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse