Provider Demographics
NPI:1831996248
Name:ANDRADE-GOEKEN, ELEANORA
Entity type:Individual
Prefix:
First Name:ELEANORA
Middle Name:
Last Name:ANDRADE-GOEKEN
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 1111
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:NE
Mailing Address - Zip Code:68779-1111
Mailing Address - Country:US
Mailing Address - Phone:402-841-2430
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1111
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:NE
Practice Address - Zip Code:68779-1111
Practice Address - Country:US
Practice Address - Phone:402-841-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant