Provider Demographics
NPI:1760967343
Name:SOTO, ANITA MEGAN-STELZER (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:MEGAN-STELZER
Last Name:SOTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68147-1705
Mailing Address - Country:US
Mailing Address - Phone:531-299-2301
Mailing Address - Fax:
Practice Address - Street 1:8210 S 42ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68147-1705
Practice Address - Country:US
Practice Address - Phone:531-299-2301
Practice Address - Fax:531-299-2319
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE70275163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool