Provider Demographics
NPI:1942781992
Name:BILLETER, ASHLEY KAY (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KAY
Last Name:BILLETER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 COURT ST
Mailing Address - Street 2:
Mailing Address - City:GIBBON
Mailing Address - State:NE
Mailing Address - Zip Code:68840-6001
Mailing Address - Country:US
Mailing Address - Phone:308-468-6546
Mailing Address - Fax:
Practice Address - Street 1:407 COURT ST
Practice Address - Street 2:
Practice Address - City:GIBBON
Practice Address - State:NE
Practice Address - Zip Code:68840-6001
Practice Address - Country:US
Practice Address - Phone:308-468-6546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69068364SS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SS0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistSchool