Provider Demographics
NPI:1639054166
Name:ARMSTEAD, SIMONE ERAINE RENEE
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:ERAINE RENEE
Last Name:ARMSTEAD
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 1:706 LEMAY DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3249
Mailing Address - Country:US
Mailing Address - Phone:402-830-1122
Mailing Address - Fax:
Practice Address - Street 1:706 LEMAY DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3249
Practice Address - Country:US
Practice Address - Phone:402-830-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69907376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide