Individual
ANSLIE LYNN KOETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 N PEBBLE ST, FREMONT, NE 68025-6361
(402) 719-4400
Mailing address
147 N PEBBLE ST, FREMONT, NE 68025-6361
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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