Provider Demographics
NPI:1609599778
Name:BITTNER, LEAH
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:BITTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-0089
Mailing Address - Country:US
Mailing Address - Phone:402-887-5041
Mailing Address - Fax:877-737-5735
Practice Address - Street 1:110 W 3RD ST
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1464
Practice Address - Country:US
Practice Address - Phone:402-887-5041
Practice Address - Fax:877-737-5735
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant