Provider Demographics
NPI:1972300481
Name:KASMANCHY, BERNADETTE CHRISTINE
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:CHRISTINE
Last Name:KASMANCHY
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 1:420 JAY ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:NE
Mailing Address - Zip Code:68873-1750
Mailing Address - Country:US
Mailing Address - Phone:402-631-1548
Mailing Address - Fax:
Practice Address - Street 1:2407 APACHE RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7510
Practice Address - Country:US
Practice Address - Phone:308-385-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider