Provider Demographics
NPI:1609445428
Name:LANO, ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:LANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:BRESTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:818 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-5061
Mailing Address - Country:US
Mailing Address - Phone:308-224-6587
Mailing Address - Fax:
Practice Address - Street 1:416 W 48TH ST STE 28
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-1314
Practice Address - Country:US
Practice Address - Phone:308-708-7631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily