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Individual

CHANTEL NEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM., FNP-C

Contact information

Practice address
94A09 ROAD 111, BRIDGEPORT, NE 69336-2644
(308) 430-3104
Mailing address
94A09 ROAD 111, BRIDGEPORT, NE 69336-2644

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75342
NE
363LF0000X
Family Nurse Practitioner
Primary
115724
NE
367A00000X
Advanced Practice Midwife
120091
NE

Other

Enumeration date
06/21/2021
Last updated
04/08/2025
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