Provider Demographics
NPI:1356451439
Name:NAHRSTEDT, DAWN GAY (APRN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:GAY
Last Name:NAHRSTEDT
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 1:337 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AINSWORTH
Mailing Address - State:NE
Mailing Address - Zip Code:69210-1355
Mailing Address - Country:US
Mailing Address - Phone:402-382-3800
Mailing Address - Fax:402-382-3799
Practice Address - Street 1:337 N MAIN ST
Practice Address - Street 2:
Practice Address - City:AINSWORTH
Practice Address - State:NE
Practice Address - Zip Code:69210-1355
Practice Address - Country:US
Practice Address - Phone:402-382-3800
Practice Address - Fax:402-382-3799
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026852100Medicaid