Provider Demographics
NPI:1558745851
Name:VOGLTANCE, JOELLE MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:JOELLE
Middle Name:MARIE
Last Name:VOGLTANCE
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 1:522 LYNCREST DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3932
Mailing Address - Country:US
Mailing Address - Phone:402-310-2239
Mailing Address - Fax:
Practice Address - Street 1:600 WEST E. STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522
Practice Address - Country:US
Practice Address - Phone:402-475-3671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily