Provider Demographics
NPI:1376297101
Name:GEHLE, HAILEY (LPN)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:GEHLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:GEHLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:DESHLER
Mailing Address - State:NE
Mailing Address - Zip Code:68340-0547
Mailing Address - Country:US
Mailing Address - Phone:402-365-7272
Mailing Address - Fax:
Practice Address - Street 1:1403 3RD ST
Practice Address - Street 2:
Practice Address - City:DESHLER
Practice Address - State:NE
Practice Address - Zip Code:68340-9844
Practice Address - Country:US
Practice Address - Phone:402-365-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24881164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE24881OtherLICENSED PRACTICAL NURSE