Healthcare Provider Details

I. General information

NPI: 1174464416
Provider Name (Legal Business Name): ROSELLA TRUEBLOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 10TH AVE
SIDNEY NE
69162-2246
US

IV. Provider business mailing address

1505 10TH AVE
SIDNEY NE
69162-2246
US

V. Phone/Fax

Practice location:
  • Phone: 970-740-2169
  • Fax:
Mailing address:
  • Phone:
  • 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: