Healthcare Provider Details

I. General information

NPI: 1861363764
Provider Name (Legal Business Name): CYNTHIA YEAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNTHIA HOUSTON

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 FRONT ST
BLAIR NE
68008-1524
US

IV. Provider business mailing address

1909 FRONT ST
BLAIR NE
68008-1524
US

V. Phone/Fax

Practice location:
  • Phone: 402-720-7788
  • Fax:
Mailing address:
  • Phone: 402-720-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: