Provider Demographics
NPI:1235962119
Name:HEGY, KORBY (APRN)
Entity type:Individual
Prefix:
First Name:KORBY
Middle Name:
Last Name:HEGY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KORBY
Other - Middle Name:
Other - Last Name:WACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1431 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5340
Mailing Address - Country:US
Mailing Address - Phone:402-719-7660
Mailing Address - Fax:
Practice Address - Street 1:3105 N 93RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4717
Practice Address - Country:US
Practice Address - Phone:877-859-0589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115540363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health