Healthcare Provider Details

I. General information

NPI: 1750859005
Provider Name (Legal Business Name): SHARON LYNN STRAMPHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W 9TH ST
HASTINGS NE
68901-3655
US

IV. Provider business mailing address

1924 W A ST
HASTINGS NE
68901-5650
US

V. Phone/Fax

Practice location:
  • Phone: 402-461-7540
  • Fax:
Mailing address:
  • Phone: 402-461-7578
  • Fax: 402-461-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number77999
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: