Nancy D Bredenkamp, APRN
Individual provider Active NPI Family Nurse Practitioner · Blue Hill, NE
NPI 1811999501 · NPPES record last updated Sep 30, 2010
Key facts
- NPI
- 1811999501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 110598 (NE)
- Practice address
- 102 N Pine St
Blue Hill Clinic-MLMH
Blue Hill, NE 68930-5532 - Phone
- (402) 756-2141
- Fax
- (402) 756-2142
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110598 | NE | Yes |
Addresses
Primary practice location
102 N Pine St
Blue Hill Clinic-MLMH
Blue Hill, NE 68930-5532
Mailing address
102 N Pine St
Blue Hill Clinic-MLMH
Blue Hill, NE 68930-5532
Phone (402) 756-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01597 | Other | NE | BLUE CROSS BLUE SHIELD NE |
Other names
- Nancy D Fagot
Other providers in Blue Hill, NE
- Blue Hill Opco LLC
- Blue Hill Pharmacy
- Blue Hill Public Schools
- Katrina Marie Brenn
- Macie R Bunger
- Kara Burken
- Tori Lynn Coats I
- Leon J Davis
All providers in Blue Hill, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.