Provider Demographics
NPI:1417741315
Name:LUDWIG, MEREDIE NICOLE
Entity type:Individual
Prefix:
First Name:MEREDIE
Middle Name:NICOLE
Last Name:LUDWIG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MEREDIE
Other - Middle Name:NICOLE
Other - Last Name:TENHULZEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:302 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-2120
Mailing Address - Country:US
Mailing Address - Phone:402-297-7831
Mailing Address - Fax:
Practice Address - Street 1:302 S 5TH ST
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-2120
Practice Address - Country:US
Practice Address - Phone:402-297-7831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant