Individual
MRS. STACI CHRISTINE WUESTEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
104 S EAST ST, PONCA, NE 68770-7264
(402) 755-2552
(402) 755-2387
Mailing address
PO BOX 645, PONCA, NE 68770-0645
(402) 755-2552
(402) 755-2387
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R051494
SD
Other
Enumeration date
05/27/2022
Last updated
06/08/2022
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