Provider Demographics
NPI:1508440140
Name:BITTNER, NICHOLE ELIZABETH (PLADC)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:ELIZABETH
Last Name:BITTNER
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E 14TH ST STE 270
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3257
Mailing Address - Country:US
Mailing Address - Phone:402-460-1062
Mailing Address - Fax:402-463-9124
Practice Address - Street 1:223 E 14TH ST STE 270
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3257
Practice Address - Country:US
Practice Address - Phone:402-460-1062
Practice Address - Fax:402-463-9124
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1609101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)