Provider Demographics
NPI:1376267328
Name:SPLATTSTOESSER, DAWN MARIE (RN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:SPLATTSTOESSER
Suffix:
Gender:F
Credentials:RN
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4030 INDIANHEAD DR # FR
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-6431
Mailing Address - Country:US
Mailing Address - Phone:308-379-8203
Mailing Address - Fax:
Practice Address - Street 1:3533 PRAIRIEVIEW ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4409
Practice Address - Country:US
Practice Address - Phone:308-675-4421
Practice Address - Fax:308-675-5202
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE63037163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator