Provider Demographics
NPI:1720305469
Name:INBODY, STEVEN DONALD (RN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DONALD
Last Name:INBODY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-1207
Mailing Address - Country:US
Mailing Address - Phone:308-282-0084
Mailing Address - Fax:
Practice Address - Street 1:229 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:GORDON
Practice Address - State:NE
Practice Address - Zip Code:69343-1207
Practice Address - Country:US
Practice Address - Phone:308-282-0084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE67198163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse