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Individual

CHELSEA A ENNINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 398-8980
(308) 398-5537
Mailing address
2000 Q STREET, SUITE 500, LINCOLN, NE 68503-3610
(402) 421-0904
(402) 421-0946

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111201
NE

Other

Enumeration date
01/14/2011
Last updated
03/09/2015
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