Provider Demographics
NPI:1821897455
Name:ARMSTEAD, CARMEN TARA
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:TARA
Last Name:ARMSTEAD
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 1:304 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:NE
Mailing Address - Zip Code:68878-7217
Mailing Address - Country:US
Mailing Address - Phone:308-746-2309
Mailing Address - Fax:
Practice Address - Street 1:304 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:NE
Practice Address - Zip Code:68878-7217
Practice Address - Country:US
Practice Address - Phone:308-746-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant