Healthcare Provider Details

I. General information

NPI: 1245717487
Provider Name (Legal Business Name): NATALIE DEANN RIHANEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 WEST PONCA STREET
LYNCH NE
68746
US

IV. Provider business mailing address

729 WEST PONCA STREET
LYNCH NE
68746
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-8014
  • Fax:
Mailing address:
  • Phone: 402-336-8014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2018
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: