Provider Demographics
NPI:1659501542
Name:KINNEY, NADIA ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:ANNE
Last Name:KINNEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987740 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3646
Mailing Address - Country:US
Mailing Address - Phone:402-559-4442
Mailing Address - Fax:402-559-9100
Practice Address - Street 1:987740 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3646
Practice Address - Country:US
Practice Address - Phone:402-559-4442
Practice Address - Fax:402-559-9100
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-26
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111044363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal