Individual
AMY HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
504 MAIN STREET, DALTON, NE 69131-6913
(308) 377-2301
(308) 377-2304
Mailing address
PO BOX 297, DALTON, NE 69131-0297
(308) 377-2301
(308) 377-2304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55860
NE
Other
Enumeration date
05/29/2019
Last updated
01/25/2022
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