Provider Demographics
NPI:1386457588
Name:NUSS, CODY DEAN
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:DEAN
Last Name:NUSS
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 1:928 ELMER AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1927
Mailing Address - Country:US
Mailing Address - Phone:402-366-5149
Mailing Address - Fax:
Practice Address - Street 1:928 ELMER AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1927
Practice Address - Country:US
Practice Address - Phone:402-366-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services