Individual
STACEY ALICE VANBOENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2211
(308) 995-3249
Mailing address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-3343
(308) 995-3249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111882
NE
Other
Enumeration date
06/11/2015
Last updated
05/15/2019
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