Healthcare Provider Details

I. General information

NPI: 1093632358
Provider Name (Legal Business Name): LEERA MARIE DUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEERA ARGUELLO

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 31ST ST
KEARNEY NE
68847-2926
US

IV. Provider business mailing address

1715 E 48TH ST
KEARNEY NE
68847-8431
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number117008
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: