Provider Demographics
NPI:1205541042
Name:NIFFENEGGER, ANNE (DNP, APRN-NP)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:NIFFENEGGER
Suffix:
Gender:F
Credentials:DNP, APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 W 2ND ST STE 330
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5464
Mailing Address - Country:US
Mailing Address - Phone:308-730-4366
Mailing Address - Fax:308-388-6790
Practice Address - Street 1:1811 W 2ND ST STE 330
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-5464
Practice Address - Country:US
Practice Address - Phone:308-730-4366
Practice Address - Fax:308-388-6790
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114575363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026307602Medicaid
NE1073341244OtherNPI II