Individual
JACQUELINE M STANZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1314 N 205TH ST STE B, ELKHORN, NE 68022-4753
(402) 577-0001
Mailing address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 721-1610
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
112984
NE
Other
Enumeration date
01/03/2020
Last updated
01/31/2024
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