Individual
TINA MARIE HUETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 RAASCH DR, NORFOLK, NE 68701-3455
(402) 370-4579
Mailing address
3204 RAASCH DR, NORFOLK, NE 68701-3455
(402) 370-4579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16456
NE
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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