Individual
KATHRYN E HUERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8248 S 96TH ST, LA VISTA, NE 68128-3126
(402) 717-9540
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 717-9540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
79454
NE
363LF0000X
Family Nurse Practitioner
Primary
112149
NE
Other
Enumeration date
11/11/2016
Last updated
11/29/2016
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