Healthcare Provider Details

I. General information

NPI: 1982537270
Provider Name (Legal Business Name): ANNIE MARIE STOTT ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 W 5TH ST
MINDEN NE
68959-1406
US

IV. Provider business mailing address

543 W 5TH ST
MINDEN NE
68959-1406
US

V. Phone/Fax

Practice location:
  • Phone: 308-832-2440
  • Fax: 308-832-2567
Mailing address:
  • Phone: 308-832-2440
  • Fax: 308-832-2567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number20250000311
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: