Provider Demographics
NPI:1861682023
Name:DANIELSON, JULIE KAY (APRN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:DANIELSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:YOUNGSCAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:575 SOUTH 70TH ST.
Mailing Address - Street 2:SUITE 425
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-5200
Mailing Address - Fax:402-219-5201
Practice Address - Street 1:8055 O STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2580
Practice Address - Country:US
Practice Address - Phone:402-421-0896
Practice Address - Fax:402-421-0945
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE254433OtherMIDLANDS CHOICE
NE39327OtherBCBS