Provider Demographics
NPI:1740070069
Name:DRIEVER, LAURAINE RUTH
Entity type:Individual
Prefix:
First Name:LAURAINE
Middle Name:RUTH
Last Name:DRIEVER
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 1:1109 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-3118
Mailing Address - Country:US
Mailing Address - Phone:402-873-8112
Mailing Address - Fax:
Practice Address - Street 1:200 N 3RD ST APT B4
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2554
Practice Address - Country:US
Practice Address - Phone:402-873-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker