Individual
SAMANTHA KAY KIZZIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
402 N MAPLE ST, OSMOND, NE 68765-5726
(402) 748-3393
Mailing address
1720 N ST, GERING, NE 69341-2630
(402) 450-1377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113206
NE
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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