Individual
SPENCER ELI STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
8550 CUTHILLS CIR, LINCOLN, NE 68526-9474
(402) 476-6060
(402) 476-6809
Mailing address
2400 Y ST, LINCOLN, NE 68503-1745
(435) 669-3088
(402) 476-6809
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10455165-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
115307
NE
Other
Enumeration date
05/01/2023
Last updated
05/30/2024
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