Provider Demographics
NPI:1851188288
Name:TOELLE, EMILIA G
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:G
Last Name:TOELLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2272 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NE
Mailing Address - Zip Code:68455-2602
Mailing Address - Country:US
Mailing Address - Phone:402-657-7067
Mailing Address - Fax:
Practice Address - Street 1:2272 E LAKE DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NE
Practice Address - Zip Code:68455-2602
Practice Address - Country:US
Practice Address - Phone:402-657-7067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider