Provider Demographics
NPI:1407843048
Name:ARNDT, AMY K (APRN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:ARNDT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:755 FALLBROOK BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-9056
Mailing Address - Country:US
Mailing Address - Phone:402-323-3360
Mailing Address - Fax:402-438-2107
Practice Address - Street 1:755 FALLBROOK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-9056
Practice Address - Country:US
Practice Address - Phone:402-323-3360
Practice Address - Fax:402-438-2107
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2015-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE110573363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-0824058-13Medicaid
NE110573OtherNEBRASKA APRN ID#
NEP00440792OtherMEDICARE TRAVELERS
NE281742Medicare PIN