Individual
CAMILLE ANN KANTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
110 NORTH 29TH ST, SUITE 204, NORFOLK, NE 68701-0001
(402) 844-8190
Mailing address
907 PINE HEIGHTS RD, WAYNE, NE 68787
(402) 709-4932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63568
NE
363L00000X
Nurse Practitioner
111293
NE
363LA2100X
Acute Care Nurse Practitioner
111293
NE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
111293
NE
Other
Enumeration date
09/21/2011
Last updated
03/27/2017
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