Provider Demographics
NPI:1629875307
Name:ERNESTI, ANDREW LEE
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:LEE
Last Name:ERNESTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 88TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-6107
Mailing Address - Country:US
Mailing Address - Phone:402-910-5836
Mailing Address - Fax:
Practice Address - Street 1:3502 88TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-6107
Practice Address - Country:US
Practice Address - Phone:402-910-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No374U00000XNursing Service Related ProvidersHome Health Aide