Healthcare Provider Details

I. General information

NPI: 1952531055
Provider Name (Legal Business Name): SANDRA LEE DOERNEMANN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA LEE SCHNOOR APRN

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 COLFAX ST
SCHUYLER NE
68661-1400
US

IV. Provider business mailing address

1721 COLFAX ST
SCHUYLER NE
68661-1400
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-3745
  • Fax: 402-352-8750
Mailing address:
  • Phone: 402-352-3745
  • Fax: 402-352-8750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number111055
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: