NPI 1295489557
Stephanie Detamore
Practice location
- Address
- 1811 W 2nd St STE 450, Grand Island, NE 68803-5473
- Phone
- (308) 379-8619
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1295489557
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Feb 2022
- Record last updated
- 7 Feb 2022
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.