Individual
TIFFANY OTTERNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 1ST ST, LORTON, NE 68382-5004
(402) 981-8593
Mailing address
2 1ST ST, LORTON, NE 68382-5004
(402) 981-8593
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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