Individual
MRS. KATHRYN JANE BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
515 N 162ND AVE, SUITE # 301, OMAHA, NE 68118-2539
(402) 354-7320
(402) 354-7325
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110808
NE
363LF0000X
Family Nurse Practitioner
A-118307
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043370794
—
IA
05
—
420680355-12
—
NE
05
—
470376604-25
—
NE
Enumeration date
12/11/2006
Last updated
12/17/2013
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