NPI 1306689518 · live from the CMS NPI Registry
Kachine Marie Banahan, APRN
Nurse Practitioner in Aurora, NE. National Provider Identifier 1306689518, active.
NPI record
| NPI | 1306689518 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 609 O St, Aurora, NE 68818 |
| Practice phone | 402-694-3191 |
| Mailing address | 1423 7th St, Aurora, NE 68818 |
| Enumerated | June 15, 2024 |
| Last updated | June 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 115420 (NE) |
| Registered Nurse | 163W00000X | 89252 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.