Healthcare Provider Details

I. General information

NPI: 1962944207
Provider Name (Legal Business Name): SHERRY KROPATSCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 01/23/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1832 ASPEN LN STE G
GRAND ISLAND NE
68803-2474
US

IV. Provider business mailing address

1832 ASPEN LN STE G
GRAND ISLAND NE
68803
US

V. Phone/Fax

Practice location:
  • Phone: 308-675-1760
  • Fax: 308-675-3258
Mailing address:
  • Phone: 308-675-1760
  • Fax: 308-675-3258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111923
License Number StateNE

VIII. Authorized Official

Name: SHERRY R KROPATSCH
Title or Position: OWNER
Credential:
Phone: 308-675-1760