Provider Demographics
NPI:1811462039
Name:GEHRT, JOAN (RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:GEHRT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77633 EDDYVILLE SPUR
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:68834-7505
Mailing Address - Country:US
Mailing Address - Phone:308-826-3131
Mailing Address - Fax:
Practice Address - Street 1:100 N SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NE
Practice Address - Zip Code:68812-4515
Practice Address - Country:US
Practice Address - Phone:308-856-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE43216163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse