Provider Demographics
NPI:1144236357
Name:DAUEL, LOIS ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ANN
Last Name:DAUEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W 33RD ST
Mailing Address - Street 2:PO BOX 1990
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2959
Mailing Address - Country:US
Mailing Address - Phone:308-865-7985
Mailing Address - Fax:308-865-2907
Practice Address - Street 1:104 W 33RD ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2959
Practice Address - Country:US
Practice Address - Phone:308-865-7985
Practice Address - Fax:308-865-2907
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE51781163WM0705X
NE110758363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical