Individual
TRACY L. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14340 CASTLEWOOD ST, WAVERLY, NE 68462-1580
(402) 786-2341
(402) 786-2799
Mailing address
14541 CASTLEWOOD ST. PO BOX 426, WAVERLY, NE 68462-0426
(402) 786-2341
(402) 786-2799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7076
NE
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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