1396871224 NPI number — ALLISON JOANNE VYHNALEK APRN

Table of content: ALLISON JOANNE VYHNALEK APRN (NPI 1396871224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396871224 NPI number — ALLISON JOANNE VYHNALEK APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VYHNALEK
Provider First Name:
ALLISON
Provider Middle Name:
JOANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396871224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1506 HAWTHORNE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRETE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-441-3306
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
630 N COTNER
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-466-1012
Provider Business Practice Location Address Fax Number:
402-466-1035
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  110831 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 164W00000X , with the licence number: 110831 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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