Provider Demographics
NPI:1700768496
Name:NITZSCHE, JANAE JULIANA
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:JULIANA
Last Name:NITZSCHE
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 1:310 N WELCH PARK RD # ADDRESS2
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NE
Mailing Address - Zip Code:68405-9640
Mailing Address - Country:US
Mailing Address - Phone:402-761-3512
Mailing Address - Fax:
Practice Address - Street 1:310 N WELCH PARK RD # ADDRESS2
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NE
Practice Address - Zip Code:68405-9640
Practice Address - Country:US
Practice Address - Phone:402-761-3512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer