Provider Demographics
NPI:1386537694
Name:PLATT, DAVETREA M
Entity type:Individual
Prefix:
First Name:DAVETREA
Middle Name:M
Last Name:PLATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7528 N 77TH TER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1547
Mailing Address - Country:US
Mailing Address - Phone:531-203-3964
Mailing Address - Fax:
Practice Address - Street 1:7220 AMES CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1200
Practice Address - Country:US
Practice Address - Phone:402-681-6079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider