Individual
KACHINE MARIE BANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
609 O ST, AURORA, NE 68818-1100
(402) 694-3191
Mailing address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-3171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89252
NE
363L00000X
Nurse Practitioner
Primary
115420
NE
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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