Provider Demographics
NPI:1780163824
Name:KAUP, DEANNA MARGARET (DNP, APRN-NP, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:MARGARET
Last Name:KAUP
Suffix:
Gender:F
Credentials:DNP, APRN-NP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 S 88TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3065
Mailing Address - Country:US
Mailing Address - Phone:402-390-0555
Mailing Address - Fax:402-926-4793
Practice Address - Street 1:2805 S 88TH ST STE 101
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3065
Practice Address - Country:US
Practice Address - Phone:402-390-0555
Practice Address - Fax:402-926-4793
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily