KARLENE ANN DETTWILLER (NPI# 1023521481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023521481 |
| Entity Type | Individual |
| Full Name | KARLENE ANN DETTWILLER |
| Other Name | KARLENE ANN RUSS |
| Practice Address |
9695 N 1st Street Prosser NE 68883 |
| Practice Telephone | 4029845783 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
75714 | NE | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DETTWILLERK6028 | 05 |
| Street Address |
9695 N 1ST STREET |
| City | PROSSER |
| State | NE |
| Zip Code | 68883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558877662 | Mercedes L Devore | Occupational Therapy Assistant | 1401 East St, Wood River, Ne 68883, Wood River, NE 68883 | 2017-12-27 |
| 1376523258 | Stephanie Rae Williams | Registered Nurse | 905 Main St, Box 568, Wood River, NE 68883 | 2006-01-18 |
| 1952402513 | Michael D Matthews | Emergency Medicine | 13330 W Warren Ave, Prosser, NE 68883-1765 | 2006-09-26 |
| 1629579693 | Thrive Counseling, LLC | Community/Behavioral Health | 403 Lilly St, Wood River, NE 68883-2109 | 2018-02-26 |
| 1447211834 | City of Wood River | Ambulance | 1002 Main St, Wood River, NE 68883-3107 | 2006-03-28 |
| 1386786267 | Larry Dean Krause | Dentist | 908 Main St, Wood River, NE 68883-3108 | 2007-02-13 |
| 1699211664 | Kelsey Bahe | Specialist/Technologist | 1402 West St, Wood River, NE 68883-9104 | 2017-01-13 |
| 1164403952 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1401 East St, Wood River, NE 68883-9199 | 2005-11-08 |
| 1053862367 | The Mary Lanning Memorial Hospital Association | Hospice Care, Community Based | 1401 East St, Wood River, NE 68883-9199 | 2016-10-21 |
| 1184107146 | Rebecca Moore | Counselor | 13800 W Wood River Rd, Wood River, NE 68883-9456 | 2018-09-14 |
| Find all providers in zip 68883 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619418209 | Opeyemi Oloyede | Registered Nurse | 4715 S 132nd St, Omaha, NE 68137-1701 | 2017-03-15 |
| 1124182845 | Jacquie Montag | Registered Nurse | 2301 N 117th Ave, Suite 202, Omaha, NE 68164-3483 | 2006-12-20 |
| 1114499142 | Lauren Cox | Registered Nurse | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2019-01-02 |
| 1952833089 | Precious Davis | Registered Nurse | 900 S 74th Plz, Omaha, NE 68114-4675 | 2017-03-29 |
| 1265835391 | Stacie Petersen | Registered Nurse | 430 N Monitor St, West Point, NE 68788-1595 | 2014-10-03 |
| 1114175643 | Cheryl E Richards | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2008-09-09 |
Please comment or provide details below to improve the information on KARLENE ANN DETTWILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.