Provider Demographics
NPI:1710680061
Name:LEWANDOWSKI, LIBBY (MSN, APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:MSN, APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NE
Mailing Address - Zip Code:68405-9617
Mailing Address - Country:US
Mailing Address - Phone:402-381-7586
Mailing Address - Fax:
Practice Address - Street 1:515 2ND ST
Practice Address - Street 2:
Practice Address - City:FRIEND
Practice Address - State:NE
Practice Address - Zip Code:68359-1305
Practice Address - Country:US
Practice Address - Phone:308-646-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114681363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care