Basic Information
| Provider Information | |||||||||
| NPI: | 1689290595 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ORESTAD | ||||||||
| FirstName: | SARA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1924 W A ST | ||||||||
| Address2: | |||||||||
| City: | HASTINGS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 689015650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024617578 | ||||||||
| FaxNumber: | 4024617509 | ||||||||
| Practice Location | |||||||||
| Address1: | 1720 CRANE AVE | ||||||||
| Address2: | |||||||||
| City: | HASTINGS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 689012853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024617593 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2020 | ||||||||
| LastUpdateDate: | 06/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 90605 | NE | Y | Nursing Service Providers | Registered Nurse |
No ID Information.