Provider Demographics
NPI:1629387600
Name:SPOHN, TERRIE (DNP, APRN-NP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:TERRIE
Middle Name:
Last Name:SPOHN
Suffix:
Gender:F
Credentials:DNP, APRN-NP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CEDAR PLAINS FAMILY MEDICINE
Mailing Address - Street 2:1201 PARK DRIVE
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372
Mailing Address - Country:US
Mailing Address - Phone:402-792-0095
Mailing Address - Fax:
Practice Address - Street 1:1201 PARK DR
Practice Address - Street 2:
Practice Address - City:HICKMAN
Practice Address - State:NE
Practice Address - Zip Code:68372-1448
Practice Address - Country:US
Practice Address - Phone:402-792-0095
Practice Address - Fax:402-792-2749
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily