Healthcare Provider Details

I. General information

NPI: 1043021173
Provider Name (Legal Business Name): COURTNEY KATHLEEN STREIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 COUNTY ROAD 9
SCRIBNER NE
68057-2016
US

IV. Provider business mailing address

854 COUNTY ROAD 9
SCRIBNER NE
68057-2016
US

V. Phone/Fax

Practice location:
  • Phone: 402-746-3866
  • Fax:
Mailing address:
  • Phone: 402-746-3866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: