Healthcare Provider Details

I. General information

NPI: 1619776044
Provider Name (Legal Business Name): LAURA R ERNESTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 CORNHUSKER HWY
LINCOLN NE
68507-3123
US

IV. Provider business mailing address

6400 CORNHUSKER HWY
LINCOLN NE
68507-3123
US

V. Phone/Fax

Practice location:
  • Phone: 402-465-5664
  • Fax:
Mailing address:
  • Phone: 402-465-5664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number70630
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: