Individual
NATHANIEL DEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Mailing address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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