Provider Demographics
NPI:1427054428
Name:SYBRANT, CATHERINE SUE (APRN-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SUE
Last Name:SYBRANT
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:NE
Mailing Address - Zip Code:68714-5062
Mailing Address - Country:US
Mailing Address - Phone:402-684-2906
Mailing Address - Fax:402-684-3822
Practice Address - Street 1:801 S STATE ST
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-5062
Practice Address - Country:US
Practice Address - Phone:402-684-2906
Practice Address - Fax:402-684-3822
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110473363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE35825OtherBC/BS
NEP48333Medicare UPIN
NE275021Medicare ID - Type Unspecified