(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003530221
Provider Name: NICOLE SANNE
Entity Type: Individual
Taxonomy Code: 3747P1801X
Specialty: Technician
License Number:
Most Important Dates
Enumeration Date: 09/30/2022
Last Updated: 09/30/2022
Provider Practice Location
501 IOWA ST
CLEARWATER
NE
687265380
Practice Location Phone/Fax
Phone: 4024852061
Fax:
Provider Mailing Location
PO BOX 8
CLEARWATER
NE
687260008
Provider Mailing Phone/Fax
Phone: 4024852061
Fax: