Provider Demographics
NPI:1114633260
Name:LORENZ, EMILY E (APRN-NP, DNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:LORENZ
Suffix:
Gender:F
Credentials:APRN-NP, DNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:E
Other - Last Name:THRAEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 24607
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-0607
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:402-955-3674
Practice Address - Street 1:1022 WOODBURY AVE
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-7915
Practice Address - Country:US
Practice Address - Phone:712-352-0405
Practice Address - Fax:712-352-0356
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC172672363LP0200X
NE114597363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics