MEDICARE: SHERRI ANN STOLL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	49933	NE

General Provider Information

NPI Number	:	1205633310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI ANN STOLL RN

Provider Business Mailing Address
First Line	:	2651 W GARFIELD ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68522-4449
Country	:	US
Telephone Number	:	402-540-2658
Fax Number	:

Provider Business Practice Location Address
First Line	:	2651 W GARFIELD ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68522-4449
Country	:	US
Telephone Number	:	402-540-2658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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