Provider Demographics
NPI:1962944207
Name:SHERRY KROPATSCH, LLC
Entity type:Organization
Organization Name:SHERRY KROPATSCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KROPATSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-675-1760
Mailing Address - Street 1:1832 ASPEN LN STE G
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803
Mailing Address - Country:US
Mailing Address - Phone:308-675-1760
Mailing Address - Fax:308-675-3258
Practice Address - Street 1:1832 ASPEN LN STE G
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-2474
Practice Address - Country:US
Practice Address - Phone:308-675-1760
Practice Address - Fax:308-675-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X
NE111923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty