Provider Demographics
NPI:1134159940
Name:EFFLE-MEYER, KATHY J (APRN)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:J
Last Name:EFFLE-MEYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 W NORFOLK AVE STE D
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-9218
Mailing Address - Country:US
Mailing Address - Phone:402-844-8000
Mailing Address - Fax:402-844-8047
Practice Address - Street 1:3901 W NORFOLK AVE STE D
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-9218
Practice Address - Country:US
Practice Address - Phone:402-844-8000
Practice Address - Fax:402-844-8047
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110523363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099724001Medicare PIN
NEP64087Medicare UPIN