Provider Demographics
NPI:1407463599
Name:TURPEN, KRISTAL ANN (APRN)
Entity Type:Individual
Prefix:
First Name:KRISTAL
Middle Name:ANN
Last Name:TURPEN
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 1:2323 AVENUE J E
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2765
Mailing Address - Country:US
Mailing Address - Phone:402-522-7011
Mailing Address - Fax:
Practice Address - Street 1:2323 AVENUE J E
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-2765
Practice Address - Country:US
Practice Address - Phone:402-522-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE77986163W00000X, 363LF0000X
NE113391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse