Provider Demographics
NPI:1659984342
Name:HERBIG, COURTNEY ANN (APRN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANN
Last Name:HERBIG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1545 ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:CHAPMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68827-2752
Mailing Address - Country:US
Mailing Address - Phone:308-940-2342
Mailing Address - Fax:
Practice Address - Street 1:1545 ARCHER RD
Practice Address - Street 2:
Practice Address - City:CHAPMAN
Practice Address - State:NE
Practice Address - Zip Code:68827-2752
Practice Address - Country:US
Practice Address - Phone:308-940-2342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113269363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner