Provider Demographics
NPI:1679446249
Name:EYLAR, NIXIE DAWN
Entity type:Individual
Prefix:
First Name:NIXIE
Middle Name:DAWN
Last Name:EYLAR
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 1:111 S 20TH RD
Mailing Address - Street 2:
Mailing Address - City:UNADILLA
Mailing Address - State:NE
Mailing Address - Zip Code:68454-8010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 S 20TH RD
Practice Address - Street 2:
Practice Address - City:UNADILLA
Practice Address - State:NE
Practice Address - Zip Code:68454-8010
Practice Address - Country:US
Practice Address - Phone:402-269-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X, 372600000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion