Provider Demographics
NPI:1952537094
Name:CURTIS, ANDREA M (CNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 N MINNESOTA AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-5297
Mailing Address - Country:US
Mailing Address - Phone:402-463-6781
Mailing Address - Fax:402-463-7056
Practice Address - Street 1:606 N MINNESOTA AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5297
Practice Address - Country:US
Practice Address - Phone:402-463-6781
Practice Address - Fax:402-463-7056
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE193200000XMedicare Oscar/Certification