Provider Demographics
NPI:1053700245
Name:MCCANN, NADIA ANN (APRN)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:ANN
Last Name:MCCANN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2820 E US HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-9734
Mailing Address - Country:US
Mailing Address - Phone:308-210-2025
Mailing Address - Fax:308-210-2433
Practice Address - Street 1:2820 E US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-9734
Practice Address - Country:US
Practice Address - Phone:308-210-2025
Practice Address - Fax:308-210-2433
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111775363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care