Healthcare Provider Details

I. General information

NPI: 1902791494
Provider Name (Legal Business Name): BRYANNA ELIZABETH KURTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N BRYAN AVE
NORTH PLATTE NE
69101-4370
US

IV. Provider business mailing address

501 N BRYAN AVE
NORTH PLATTE NE
69101-4370
US

V. Phone/Fax

Practice location:
  • Phone: 308-532-3965
  • Fax: 308-534-4311
Mailing address:
  • Phone: 308-532-3965
  • Fax: 308-534-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: