Healthcare Provider Details

I. General information

NPI: 1942147707
Provider Name (Legal Business Name): MRS. VICTORIA DENNIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 W 22ND ST
FREMONT NE
68025-2528
US

IV. Provider business mailing address

3206 RAASCH DR STE 300
NORFOLK NE
68701-3175
US

V. Phone/Fax

Practice location:
  • Phone: 402-746-0213
  • Fax:
Mailing address:
  • Phone: 402-379-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: