Individual
KELSEY LYNN BAXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 S 70TH ST STE 200, LINCOLN, NE 68506
(402) 464-9000
(402) 464-4447
Mailing address
611 FENWICK DR, PAPILLION, NE 68046-5706
(402) 593-3141
(402) 593-3145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112192
NE
363LF0000X
Family Nurse Practitioner
112192
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112192
NE MEDICAL LICENSE
NE
Enumeration date
03/17/2017
Last updated
05/22/2018
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