NPI 1528587813
Prairie Foot & Ankle PC
Practice location
- Address
- 1832 Aspen Ln STE a, Grand Island, NE 68803-2487
- Phone
- (308) 646-0077
- Fax
- (308) 646-0317
- Mailing address
- PO Box 5823, Grand Island, NE 68802-5823
Authorised official
- Name
- Corey S. Blackburn
- Title
- President
- Phone
- (308) 646-0077
Registered specialties (2)
Podiatrist
Primary
Family Nurse Practitioner
Registry record
- NPI
- 1528587813
- Entity type
- Organization
- NPI issued
- 18 Sep 2017
- Record last updated
- 23 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.