Provider Demographics
NPI:1609653773
Name:SPANGLER, HEATHER (MS, APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:MS, APRN
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:SWENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2120 S 56TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2118
Mailing Address - Country:US
Mailing Address - Phone:402-413-6677
Mailing Address - Fax:402-817-0210
Practice Address - Street 1:2120 S 56TH ST STE 104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2118
Practice Address - Country:US
Practice Address - Phone:402-413-6677
Practice Address - Fax:402-817-0210
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115004363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health