Provider Demographics
NPI:1801031869
Name:KEMPF, WAUNETA I (APRN, NP)
Entity Type:Individual
Prefix:MRS
First Name:WAUNETA
Middle Name:I
Last Name:KEMPF
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S 70TH ST
Mailing Address - Street 2:STE 202
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1576
Mailing Address - Country:US
Mailing Address - Phone:402-328-8833
Mailing Address - Fax:402-328-2921
Practice Address - Street 1:6891 A ST
Practice Address - Street 2:STE 210
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4197
Practice Address - Country:US
Practice Address - Phone:402-730-6870
Practice Address - Fax:402-420-6464
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEN/AOtherMIDLANDS CHOICE
NEN/AOtherCOVENTRY
NE10025220500Medicaid
NE24441OtherBCBS
NE099654001Medicare PIN