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General NPI Number Information
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NPI Number | 1316826654
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Entity Type | Individual
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Provider Name | KATIE STANCZYK APRN
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Gender | Female
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 3533 PRAIRIEVIEW ST
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4409
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Country | US
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Telephone | 402-481-8566
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Fax |
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Provider Business Mailing Address
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Address Line | 47969 791ST RD
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City | ASHTON
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State | NE
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Zip | 68817-2279
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Country | US
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Telephone | 308-571-0824
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 93608
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License Number State | NE
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