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Individual

DAVID HERGENRADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
7441 O ST STE 201, LINCOLN, NE 68510-2468
(402) 858-4431
(402) 858-4013
Mailing address
7741 O ST, STE 201, LINCOLN, NE 68510
(402) 858-4431
(042) 858-4013

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74798
NE
363LF0000X
Family Nurse Practitioner
Primary
113385
NE

Other

Enumeration date
03/23/2020
Last updated
04/20/2023
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