Healthcare Provider Details

I. General information

NPI: 1700706421
Provider Name (Legal Business Name): AAYLA YVONNE WOERTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4552 N 13TH ST
OMAHA NE
68110-1527
US

IV. Provider business mailing address

4610 CHAPEL RIDGE LN APT 7
COUNCIL BLUFFS IA
51501-8587
US

V. Phone/Fax

Practice location:
  • Phone: 402-917-5000
  • Fax:
Mailing address:
  • Phone: 402-714-7015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: