Provider Demographics
NPI:1891338000
Name:LORENZ, ANNA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:LORENZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 COUNTY ROAD K
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:NE
Mailing Address - Zip Code:68343-2237
Mailing Address - Country:US
Mailing Address - Phone:402-826-7806
Mailing Address - Fax:
Practice Address - Street 1:920 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2292
Practice Address - Country:US
Practice Address - Phone:402-826-5228
Practice Address - Fax:402-826-1086
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE62457163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool