Healthcare Provider Details

I. General information

NPI: 1639034283
Provider Name (Legal Business Name): CARLA SUE BEHRENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E 13TH ST
CRETE NE
68333-2200
US

IV. Provider business mailing address

445 E 13TH ST
CRETE NE
68333-2200
US

V. Phone/Fax

Practice location:
  • Phone: 402-432-1324
  • Fax: 531-291-5043
Mailing address:
  • Phone: 402-432-1324
  • Fax: 531-291-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: