Provider Demographics
NPI:1639973084
Name:MCCLELLEN, BETTY
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:MCCLELLEN
Suffix:
Gender:
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 293
Mailing Address - Street 2:
Mailing Address - City:ELWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68937-0293
Mailing Address - Country:US
Mailing Address - Phone:308-367-7211
Mailing Address - Fax:
Practice Address - Street 1:106 E 7TH ST
Practice Address - Street 2:
Practice Address - City:CURTIS
Practice Address - State:NE
Practice Address - Zip Code:69025-2811
Practice Address - Country:US
Practice Address - Phone:308-537-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty