Provider Demographics
NPI:1447630058
Name:FENSLER, YVETTE M (APRN)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:FENSLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W 56TH ST
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-0505
Mailing Address - Country:US
Mailing Address - Phone:308-455-3111
Mailing Address - Fax:308-455-3058
Practice Address - Street 1:8 W 56TH ST
Practice Address - Street 2:SUITE A-3
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-0505
Practice Address - Country:US
Practice Address - Phone:308-455-3111
Practice Address - Fax:308-455-3058
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE112055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily