Provider Demographics
NPI:1558160630
Name:LEFFLER, GWENYTH LENORE
Entity type:Individual
Prefix:
First Name:GWENYTH
Middle Name:LENORE
Last Name:LEFFLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:GREY
Other - Middle Name:
Other - Last Name:LEFFLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4433 S 70TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4275
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4433 S 70TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4275
Practice Address - Country:US
Practice Address - Phone:402-471-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion