MISTY ELAINE VANDERHEIDEN

GRAND ISLAND, NE
NPI1164243754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  23245)
Enumeration Date2024-10-17
Last Update Date2024-10-17
Business Address
MISTY ELAINE VANDERHEIDEN LPN
2201 N BROADWELL AVE BLDG 1
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Mailing Address
MISTY ELAINE VANDERHEIDEN LPN
2201 N BROADWELL AVE BLDG 1
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660