Provider Demographics
NPI:1679464374
Name:TOELLE, STEPHANIE MARIE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE
Last Name:TOELLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MARIE
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2272 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NE
Mailing Address - Zip Code:68455-2602
Mailing Address - Country:US
Mailing Address - Phone:402-657-7067
Mailing Address - Fax:
Practice Address - Street 1:2272 E LAKE DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NE
Practice Address - Zip Code:68455-2602
Practice Address - Country:US
Practice Address - Phone:402-657-7067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider