Carpenter, Colleen K

Carpenter, Colleen K is an individual health care provider with primary practice located at 7440 S 91St St , Lincoln NE 68526-9797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carpenter, Colleen K can be contacted via phone (402) 489-6555.

Contact Information

Primary practice address
7440 S 91St St Lincoln NE 68526-9797
Fax: (402) 328-3770
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110779 Nebraska

Profile Details

NPI number 1740379791
LBN Legal business name Carpenter, Colleen K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740379791 NPPES
Nebraska MEDICAID 47070592301
Nebraska MEDICAID 47070592302
Nebraska MEDICAID 47070592306
Nebraska MEDICAID 10026072600
Nebraska MEDICAID 10026072500
Nebraska MEDICAID 47070592313
Nebraska MEDICAID 47070592305
Nebraska MEDICAID 47070592300

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