Provider Demographics
NPI:1932853280
Name:NEEMANN, KAYLA (MSN, APRN, AGNP-BC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:NEEMANN
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 S 70TH ST STE 435
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2463
Mailing Address - Country:US
Mailing Address - Phone:402-219-8770
Mailing Address - Fax:
Practice Address - Street 1:575 S 70TH ST STE 435
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2463
Practice Address - Country:US
Practice Address - Phone:402-219-8770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114021363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner