Provider Demographics
NPI:1720888191
Name:NIELSON, SYDNEY ANN
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANN
Last Name:NIELSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:NE
Mailing Address - Zip Code:69350-0354
Mailing Address - Country:US
Mailing Address - Phone:308-299-9088
Mailing Address - Fax:
Practice Address - Street 1:618 CEDAR ST
Practice Address - Street 2:
Practice Address - City:ARTHUR
Practice Address - State:NE
Practice Address - Zip Code:69121-8627
Practice Address - Country:US
Practice Address - Phone:308-764-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion