Provider Demographics
NPI:1205195674
Name:PFLANZ, BREANNE NICHOLE (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BREANNE
Middle Name:NICHOLE
Last Name:PFLANZ
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:MISS
Other - First Name:BREANNE
Other - Middle Name:NICHOLE
Other - Last Name:RUH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10025 S 179TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1967
Mailing Address - Country:US
Mailing Address - Phone:402-659-0537
Mailing Address - Fax:402-702-1571
Practice Address - Street 1:10156 S 168TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-4240
Practice Address - Country:US
Practice Address - Phone:402-659-0537
Practice Address - Fax:402-702-1571
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111344363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health