Provider Demographics
NPI:1558856898
Name:POLLMAN, MIRANDA ASHLEY (DNP-FNP)
Entity Type:Individual
Prefix:MRS
First Name:MIRANDA
Middle Name:ASHLEY
Last Name:POLLMAN
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:MIRANDA
Other - Middle Name:ASHLEY
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-DNP FNP
Mailing Address - Street 1:4816 GRASSRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1334
Mailing Address - Country:US
Mailing Address - Phone:402-587-0667
Mailing Address - Fax:
Practice Address - Street 1:6900 VAN DORN ST STE 24
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2882
Practice Address - Country:US
Practice Address - Phone:402-483-3400
Practice Address - Fax:402-483-3405
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112506363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty