Provider Demographics
NPI:1780014944
Name:WORNER, AMANDA JANE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JANE
Last Name:WORNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4951 CENTER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3251
Mailing Address - Country:US
Mailing Address - Phone:402-558-2500
Mailing Address - Fax:402-558-5522
Practice Address - Street 1:4951 CENTER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3251
Practice Address - Country:US
Practice Address - Phone:402-558-2500
Practice Address - Fax:402-558-5522
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA135607363LF0000X
NE111609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily