Provider Demographics
NPI:1831984137
Name:ETHERINGTON, VALISITY LEE
Entity type:Individual
Prefix:
First Name:VALISITY
Middle Name:LEE
Last Name:ETHERINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALISITY
Other - Middle Name:LEE
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:820 S PINE AVE TRLR 218
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7059
Mailing Address - Country:US
Mailing Address - Phone:402-902-0886
Mailing Address - Fax:
Practice Address - Street 1:820 S PINE AVE TRLR 218
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-7059
Practice Address - Country:US
Practice Address - Phone:402-902-0886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant