Provider Demographics
NPI:1336951987
Name:TRAUTMAN, STEVEN GLENN
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GLENN
Last Name:TRAUTMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14720 FOLKESTONE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-1371
Mailing Address - Country:US
Mailing Address - Phone:402-786-0424
Mailing Address - Fax:
Practice Address - Street 1:14720 FOLKESTONE ST APT 1
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NE
Practice Address - Zip Code:68462-1371
Practice Address - Country:US
Practice Address - Phone:402-786-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider