Healthcare Provider Details

I. General information

NPI: 1407765639
Provider Name (Legal Business Name): STEPHANIE DOREEN HILLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 NORMAL BLVD STE 245
LINCOLN NE
68506-2877
US

IV. Provider business mailing address

2330 NW 8TH ST APT 5
LINCOLN NE
68521-3523
US

V. Phone/Fax

Practice location:
  • Phone: 402-620-6673
  • Fax:
Mailing address:
  • Phone: 402-840-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: