Healthcare Provider Details

I. General information

NPI: 1013666437
Provider Name (Legal Business Name): LAUDINA ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W 20TH ST
SCHUYLER NE
68661-1184
US

IV. Provider business mailing address

2404 DENVER ST
SCHUYLER NE
68661-1187
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-3527
  • Fax:
Mailing address:
  • Phone: 661-486-0183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: