MEDICARE: ALYSON RAYNE STANTON

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	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1770425910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON RAYNE STANTON

Provider Business Mailing Address
First Line	:	PO BOX 939
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-0939
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 GALVIN RD N
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4852
Country	:	US
Telephone Number	:	402-933-0680
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ ALYSON RAYNE STANTON ” Practice Location

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