Individual
MISS ELLIE M OTTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, BSN STUDENT
Contact information
Practice address
5345 S 204TH AVE, ELKHORN, NE 68022-4383
(402) 315-0430
Mailing address
6110 N 147TH AVE, OMAHA, NE 68116-4518
(402) 315-0430
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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