MEDICARE: ADDISON SCHRAMM HUSS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	93239	NE

General Provider Information

NPI Number	:	1437939683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDISON SCHRAMM HUSS RN

Provider Business Mailing Address
First Line	:	1119 H ST
Second Line	:
City	:	FAIRBURY
State	:	NE
Zip	:	68352-1637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 S 12TH ST
Second Line	:
City	:	BEATRICE
State	:	NE
Zip	:	68310-4548
Country	:	US
Telephone Number	:	402-223-4066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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