Provider Demographics
NPI:1497413777
Name:KLINGINSMITH, AMY L (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:KLINGINSMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NE
Mailing Address - Zip Code:68405-8794
Mailing Address - Country:US
Mailing Address - Phone:402-761-1408
Mailing Address - Fax:402-761-3322
Practice Address - Street 1:1200 1ST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NE
Practice Address - Zip Code:68405-8794
Practice Address - Country:US
Practice Address - Phone:402-761-1408
Practice Address - Fax:402-761-3322
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE64114163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool