Provider Demographics
NPI:1235942319
Name:AUFDENGARTEN, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:AUFDENGARTEN
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:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:BRULE
Mailing Address - State:NE
Mailing Address - Zip Code:69127-0094
Mailing Address - Country:US
Mailing Address - Phone:308-280-0681
Mailing Address - Fax:
Practice Address - Street 1:1304 E 3RD ST
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-2832
Practice Address - Country:US
Practice Address - Phone:308-280-0681
Practice Address - Fax:308-280-0681
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion