Individual
TRACEY PENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-0718
Mailing address
PO BOX 1, GORDON, NE 69343-0001
(308) 360-8351
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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