Lesa Dianne Gideon, RN
Registered Nurse in Burwell, NE. Individual provider (NPI-1).
NPI number1891276366
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1891276366
- Entity type
- Individual (NPI-1)
- Name
- Lesa Dianne Gideon
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 52469 | NE | Yes |
Practice location
190 I StBurwell, NE 68823-4101
Phone 308-346-4150 · Fax 308-346-5430
Mailing address
190 I StBurwell, NE 68823-4101
Phone 308-346-4150 · Fax 308-346-5430
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