Provider Demographics
NPI:1851199442
Name:FANDRICH, LARINDA JEANNE (DNP APRN FNP-C)
Entity type:Individual
Prefix:
First Name:LARINDA
Middle Name:JEANNE
Last Name:FANDRICH
Suffix:
Gender:
Credentials:DNP APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 BANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-4324
Mailing Address - Country:US
Mailing Address - Phone:402-730-9819
Mailing Address - Fax:308-870-7157
Practice Address - Street 1:4701 BANCROFT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-4324
Practice Address - Country:US
Practice Address - Phone:402-730-9819
Practice Address - Fax:308-870-7157
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine