Healthcare Provider Details

I. General information

NPI: 1497643167
Provider Name (Legal Business Name): SOLEY NELSON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 S MAPLE ST
PLAINVIEW NE
68769-4085
US

IV. Provider business mailing address

254 NININGER RD
MONROE NY
10950-4275
US

V. Phone/Fax

Practice location:
  • Phone: 402-851-3632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: