Individual
STEPHANIE SPRING PROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 N 4TH ST, ONEILL, NE 68763-1179
(402) 336-1400
Mailing address
622 E BENTON ST, ONEILL, NE 68763-1656
(402) 340-3040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64606
NE
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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