Provider Demographics
NPI:1801771084
Name:WEINDORFF, MATEJA LYNN (DSP)
Entity type:Individual
Prefix:
First Name:MATEJA
Middle Name:LYNN
Last Name:WEINDORFF
Suffix:
Gender:F
Credentials:DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-2816
Mailing Address - Country:US
Mailing Address - Phone:531-350-0025
Mailing Address - Fax:
Practice Address - Street 1:7224 MORRILL AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-1453
Practice Address - Country:US
Practice Address - Phone:402-560-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112647374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide