Provider Demographics
NPI:1568277317
Name:FERNAU, KRISTA
Entity type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:
Last Name:FERNAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1455
Mailing Address - Country:US
Mailing Address - Phone:402-646-0857
Mailing Address - Fax:
Practice Address - Street 1:1022 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-1455
Practice Address - Country:US
Practice Address - Phone:402-646-0857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist