Healthcare Provider Details

I. General information

NPI: 1639679046
Provider Name (Legal Business Name): SAMANTHA KAY SLEICHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 02/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S WASHINGTON ST
LEXINGTON NE
68850-2442
US

IV. Provider business mailing address

300 S WASHINGTON ST
LEXINGTON NE
68850-2442
US

V. Phone/Fax

Practice location:
  • Phone: 308-324-1209
  • Fax:
Mailing address:
  • Phone: 308-324-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number65736
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: