Provider Demographics
NPI:1528496213
Name:YUNGHANS, KATHERINE AGNES (CNM)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:AGNES
Last Name:YUNGHANS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2561
Mailing Address - Country:US
Mailing Address - Phone:402-488-6370
Mailing Address - Fax:402-488-4393
Practice Address - Street 1:8020 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2561
Practice Address - Country:US
Practice Address - Phone:402-488-6370
Practice Address - Fax:402-488-4393
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE85270163W00000X
KS96158163W00000X
MO2009038610163W00000X
KS76015367A00000X
NE120072367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse