Traci Marie Fahrenholz, | |
320 N 19th St, Ord, NE 68862-1351 | |
(308) 728-5013 | |
Not Available |
Full Name | Traci Marie Fahrenholz |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 320 N 19th St, Ord, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295295103 | NPI | - | NPPES |
88-0005 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 45626 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Traci Marie Fahrenholz, 320 N 19th St, Ord, NE 68862-1351 Ph: (308) 728-5013 | Traci Marie Fahrenholz, 320 N 19th St, Ord, NE 68862-1351 Ph: (308) 728-5013 |
Amanda Noel Hatzenbuehler, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2707 L St, Ord, NE 68862 Phone: 908-728-4223 | |
Hallelujah Ruth Yantzie, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2707 L St, Ord, NE 68862 Phone: 083-728-4200 Fax: 308-728-3500 | |
Mrs. Jenna Jo Breitkreutz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 320 N 19th St, Ord, NE 68862 Phone: 308-728-3331 |