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Individual

MRS. NICOLE BUETTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2232 CHANCELLORS AVE, KEARNEY, NE 68845-2053
(308) 865-2303
(308) 865-2304
Mailing address
2232 CHANCELLORS AVE, KEARNEY, NE 68845-2053
(308) 865-2303
(308) 865-2304

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1556
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1556
STATE OF NEBRASKA
NE
Enumeration date
02/07/2011
Last updated
02/11/2025
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