Provider Demographics
NPI:1346761053
Name:EREKERE KATS, EWONUBARI KEHINDE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:EWONUBARI
Middle Name:KEHINDE
Last Name:EREKERE KATS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S 70TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1574
Mailing Address - Country:US
Mailing Address - Phone:402-387-7933
Mailing Address - Fax:402-809-8017
Practice Address - Street 1:1500 S. 70TH STREET
Practice Address - Street 2:104
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-387-7933
Practice Address - Fax:402-809-8017
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE75882163WH0200X
NE113989363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WH0200XNursing Service ProvidersRegistered NurseHome Health