Individual
ANDREA LYNN STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 IDA ST, OMAHA, NE 68112-3200
(402) 457-5611
(402) 451-4971
Mailing address
2728 IDA ST, OMAHA, NE 68112-3200
(402) 457-5611
(402) 451-4971
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
72808
NE
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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