Provider Demographics
NPI:1518797877
Name:STOKEBRAND, ANN RENEE (RN BSN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:RENEE
Last Name:STOKEBRAND
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 COUNTY ROAD 1900
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-4275
Mailing Address - Country:US
Mailing Address - Phone:402-429-6339
Mailing Address - Fax:
Practice Address - Street 1:191 COUNTY ROAD 1900
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-4275
Practice Address - Country:US
Practice Address - Phone:402-429-6339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE45680163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management