Provider Demographics
NPI:1295531242
Name:ROHRER, MANDY E
Entity type:Individual
Prefix:MS
First Name:MANDY
Middle Name:E
Last Name:ROHRER
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:MANDY
Other - Middle Name:E
Other - Last Name:MERRIHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:722 MAIN STREET
Mailing Address - Street 2:PO BOX 377
Mailing Address - City:CREIGHTON
Mailing Address - State:NE
Mailing Address - Zip Code:68729-0377
Mailing Address - Country:US
Mailing Address - Phone:402-358-0376
Mailing Address - Fax:
Practice Address - Street 1:722 MAIN STREET
Practice Address - Street 2:PO BOX 377
Practice Address - City:CREIGHTON
Practice Address - State:NE
Practice Address - Zip Code:68729-0377
Practice Address - Country:US
Practice Address - Phone:402-358-0376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
NE19715146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic