Provider Demographics
NPI:1326594045
Name:SIMANIC, ERIN (APRN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SIMANIC
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 1:1120 SCENIC LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2163
Mailing Address - Country:US
Mailing Address - Phone:402-613-0111
Mailing Address - Fax:
Practice Address - Street 1:2301 O ST
Practice Address - Street 2:STE 2
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1124
Practice Address - Country:US
Practice Address - Phone:402-441-6642
Practice Address - Fax:402-476-1670
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112095207Q00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine