AMANDA SUE BOARDMAN ACNP-BC RN CCRN NPI 1902141286

NPI Information

NPI: 1902141286
Provider Name: AMANDA SUE BOARDMAN, ACNP-BC, RN, CCRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ALEGENT CREIGHTON CLINIC

PECOS Registration: Yes

Address:
7500 MERCY RD
OMAHA, NE
ZIP 68124
Phone: (402) 398-5880
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Amanda Sue Boardman, ACNP-BC, RN, CCRN is an acute care nurse practitioner in Omaha, NE with 12 years of experience. Amanda Sue Boardman, ACNP-BC, RN, CCRN NPI is 1902141286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

7500 MERCY RD
OMAHA, NE
ZIP 68124
Phone: (402) 398-5880
Fax: (402) 398-6716

The NPI 1902141286 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 8/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	111437	NEBRASKA	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	L155074	IOWA	No
3	363LA2100X	Nurse Practitioner	Acute Care	264910	NORTH CAROLINA	No
4	363LA2100X	Nurse Practitioner	Acute Care	5006589	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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