FAYLENE RAE DANCER


Address: 333 N Maple, Suite 105, Sutherland, NE 69165
Phone: 3083864799

FAYLENE RAE DANCER (NPI# 1699780007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699780007
Entity Type Individual
Full Name FAYLENE RAE DANCER
Credential APRN
Practice Address 333 N Maple, Suite 105
Sutherland
NE 69165
Practice Telephone 3083864799
Practice Fax Number 3083864343
Mailing Telephone 3083864799
Mailing Fax Number 3083864343
Enumeration Date 2006-07-31
Last Update Date 2016-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
110778 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 47-082269513 05

Office Location

Street Address 333 N MAPLE, SUITE 105
City SUTHERLAND
State NE
Zip Code 69165

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487977351 Melissa Marie Johnson Occupational Therapist 333 Maple St., Sutherland, NE 69165 2010-03-08
1851305247 Brian J Vineyard Dentist 333 Maple Street, Sutherland, NE 69165 2006-07-28
1962560789 Village of Sutherland Ambulance 150 Maple Street, Sutherland, NE 69165-0277 2006-12-05
1386935690 Patricia Michele Davis Registered Nurse 741 Walnut Street, Sutherland, NE 69165-0724 2011-04-21
1801187356 Family First Health Center PC Family Medicine 333 Maple St Ste 105, Sutherland, NE 69165-3000 2011-05-02
1639125032 Five Star Quality Care-ne LLC Skilled Nursing Facility 333 Maple St, Sutherland, NE 69165-3000 2006-05-26
1871154286 Bcp Sutherland, LLC Skilled Nursing Facility 333 Maple St, Sutherland, NE 69165-3000 2019-06-26
1053792101 Karen M. Bush Speech-Language Pathologist 333 Maple St, Rehab, Sutherland, NE 69165-3000 2015-06-15
1700274271 Brian J. Vineyard, D.d.s., P.C. Dentist 333 Maple St, Sutherland, NE 69165-3000 2015-01-06
1013320852 Winsome Backer Occupational Therapy Assistant 333 Maple St, Sutherland, NE 69165-3000 2014-06-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1255944930 Taylor Marjorie Feilmeier Nurse Practitioner 56338 881 Rd, Hartington, NE 68739-4021 2020-08-24
1639780414 Nicolette R Lovitt Nurse Practitioner 14721 Stone Ave, Omaha, NE 68116-4323 2020-08-13
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Competitor

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City SUTHERLAND
Zip Code 69165

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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