Provider Demographics
NPI:1639297906
Name:WALTMAN, NANCY LORRAINE (PHD, APRN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LORRAINE
Last Name:WALTMAN
Suffix:
Gender:F
Credentials:PHD, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W ARABIAN RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68523-9335
Mailing Address - Country:US
Mailing Address - Phone:402-423-9090
Mailing Address - Fax:402-472-7345
Practice Address - Street 1:2246 O ST
Practice Address - Street 2:PLANNED PARENTHOOD OF NE AND COUNCIL BLUFFS
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1121
Practice Address - Country:US
Practice Address - Phone:402-441-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110145363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health