Healthcare Provider Details

I. General information

NPI: 1811864549
Provider Name (Legal Business Name): AMANDA MARIE ESCRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/24/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 JOHN ST
PAPILLION NE
68133-2389
US

IV. Provider business mailing address

2101 JOHN ST
PAPILLION NE
68133-2389
US

V. Phone/Fax

Practice location:
  • Phone: 402-714-5013
  • Fax:
Mailing address:
  • Phone: 402-714-5013
  • 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: