Individual
STACI BEDNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 ELK ST, BEATRICE, NE 68310-3231
(402) 613-0408
Mailing address
1838 ELK ST, BEATRICE, NE 68310-3231
(402) 613-0408
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
96373
NE
310400000X
Assisted Living Facility
Primary
REGISTRY1651
NE
315P00000X
Intellectual Disabilities Intermediate Care Facility
3947
NE
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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