Provider Demographics
NPI:1386324028
Name:HODGES, ESTEE (EMT, RN)
Entity type:Individual
Prefix:
First Name:ESTEE
Middle Name:
Last Name:HODGES
Suffix:
Gender:F
Credentials:EMT, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:UEHLING
Mailing Address - State:NE
Mailing Address - Zip Code:68063-0194
Mailing Address - Country:US
Mailing Address - Phone:402-720-0582
Mailing Address - Fax:
Practice Address - Street 1:321 MAIN ST
Practice Address - Street 2:
Practice Address - City:UEHLING
Practice Address - State:NE
Practice Address - Zip Code:68063-5049
Practice Address - Country:US
Practice Address - Phone:402-720-0582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1302146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic