Healthcare Provider Details

I. General information

NPI: 1932900610
Provider Name (Legal Business Name): ANN DOCKWEILER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CHADRON AVE
CHADRON NE
69337-2346
US

IV. Provider business mailing address

825 CENTENNIAL DR
CHADRON NE
69337-9400
US

V. Phone/Fax

Practice location:
  • Phone: 308-432-5521
  • Fax:
Mailing address:
  • Phone: 308-432-5521
  • Fax: 800-245-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number44726
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number44726
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: