Provider Demographics
NPI:1467752451
Name:ARENS, AMANDA KAY (RN, MSN, CPNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAY
Last Name:ARENS
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17716 N REFLECTION CIR
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-5717
Mailing Address - Country:US
Mailing Address - Phone:402-660-3542
Mailing Address - Fax:402-559-6782
Practice Address - Street 1:982168 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2168
Practice Address - Country:US
Practice Address - Phone:402-559-7749
Practice Address - Fax:402-559-6782
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111185208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics