Organization
ANNE NIFFENEGGER, LLC
Active
Other names
Mentalivation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE M. NIFFENEGGER DNP,APRN,PMHNP,FNP (OWNER)
(308) 730-4366
Entity
Organization
Contact information
Practice address
1811 W 2ND ST STE 330, GRAND ISLAND, NE 68803-5464
(308) 730-4366
(308) 888-6790
Mailing address
1811 W 2ND ST STE 330, GRAND ISLAND, NE 68803-5464
(308) 730-4366
(308) 888-6790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205541042
NPI INDIVIDUAL NUMBER
NE
01
—
15847824
CAQH PROVIDER ID
NE
Enumeration date
07/22/2024
Last updated
07/22/2024
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