Provider Demographics
NPI:1043021173
Name:STREIT, COURTNEY KATHLEEN
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KATHLEEN
Last Name:STREIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 COUNTY ROAD 9
Mailing Address - Street 2:
Mailing Address - City:SCRIBNER
Mailing Address - State:NE
Mailing Address - Zip Code:68057-2016
Mailing Address - Country:US
Mailing Address - Phone:402-746-3866
Mailing Address - Fax:
Practice Address - Street 1:854 COUNTY ROAD 9
Practice Address - Street 2:
Practice Address - City:SCRIBNER
Practice Address - State:NE
Practice Address - Zip Code:68057-2016
Practice Address - Country:US
Practice Address - Phone:402-746-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide