Individual
MRS. HEIDI STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 PINE LAKE RD, LINCOLN, NE 68512-3600
(402) 436-1218
Mailing address
4200 RED DEER DR, LINCOLN, NE 68516-3069
(402) 436-1218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39814
NE
Other
Enumeration date
02/26/2018
Last updated
06/16/2018
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