# DIANNA CLYNE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164618666
- **Authorized official:** DIANNA CLYNE MD (OWNER)
- **Authorized official phone:** (402) 476-7557

## Contact information

- **Practice address:** 6500 HOLDREGE ST, LINCOLN, NE 68505-1673
- **Practice address phone:** (402) 476-7557
- **Practice address fax:** (402) 476-9912
- **Mailing address:** 6500 HOLDREGE ST, LINCOLN, NE 68505-1673
- **Mailing address phone:** (402) 476-7557
- **Mailing address fax:** (402) 476-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 12/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114035938 | — | NE |
