Healthcare Provider Details

I. General information

NPI: 1326953100
Provider Name (Legal Business Name): TEAWNA STETSON CNA, CMA, CPR/BLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 SALT VALLEY VIEW ST APT 6
LINCOLN NE
68512-1135
US

IV. Provider business mailing address

5400 SALT VALLEY VIEW ST APT 6
LINCOLN NE
68512-1135
US

V. Phone/Fax

Practice location:
  • Phone: 531-359-8045
  • Fax:
Mailing address:
  • Phone: 531-359-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number155583
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: