Healthcare Provider Details

I. General information

NPI: 1427224377
Provider Name (Legal Business Name): MEGHANNE J WETTA AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 PIONEER WOODS DR
LINCOLN NE
68506-7563
US

IV. Provider business mailing address

4200 PIONEER WOODS DR
LINCOLN NE
68506-7563
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-4418
  • Fax: 402-489-2268
Mailing address:
  • Phone: 402-489-4418
  • Fax: 402-489-2268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number087
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number268
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number087
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: