Provider Demographics
NPI:1154658532
Name:NIEDERKLEIN, KRISTI RENE (NP)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:RENE
Last Name:NIEDERKLEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 W E ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1357
Mailing Address - Country:US
Mailing Address - Phone:402-473-4370
Mailing Address - Fax:402-473-4369
Practice Address - Street 1:600 W E ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1357
Practice Address - Country:US
Practice Address - Phone:402-473-4370
Practice Address - Fax:402-473-4369
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2014-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE111054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily