Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Kathryn Ellwanger, APRN-NP, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1205567203

Mary Kathryn Ellwanger, APRN-NP, CPNP-PC is a Pediatric Nurse Practitioner in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2022.

Licensed in
NE
In the registry since
2022

Practice location Address checks out

11949 Q St
Omaha, NE 68137-3503
Phone: (531) 867-3088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 114233 (NE)

Record details

NPI number1205567203
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP , CPNP-PC
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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