Provider Demographics
NPI:1629601422
Name:ERIN N. SIMANIC PMHNP, LLC
Entity Type:Organization
Organization Name:ERIN N. SIMANIC PMHNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SIMANIC
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:402-613-0111
Mailing Address - Street 1:650 J ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2979
Mailing Address - Country:US
Mailing Address - Phone:402-205-7380
Mailing Address - Fax:
Practice Address - Street 1:650 J ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2979
Practice Address - Country:US
Practice Address - Phone:402-205-7380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)