Provider Demographics
NPI:1326842469
Name:RET, ELIZABETH STEPHEN II
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:STEPHEN
Last Name:RET
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 ARMSTRONG CIR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68147-1871
Mailing Address - Country:US
Mailing Address - Phone:402-707-8492
Mailing Address - Fax:531-201-4505
Practice Address - Street 1:8215 ARMSTRONG CIR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68147-1871
Practice Address - Country:US
Practice Address - Phone:402-707-8492
Practice Address - Fax:531-201-4505
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide