Provider Demographics
NPI:1871386888
Name:ORR, AYDIN SPENCER
Entity type:Individual
Prefix:
First Name:AYDIN
Middle Name:SPENCER
Last Name:ORR
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 ROAD 8
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:NE
Mailing Address - Zip Code:68460-9168
Mailing Address - Country:US
Mailing Address - Phone:402-366-0197
Mailing Address - Fax:
Practice Address - Street 1:2208 N WEBB RD UNIT 4
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1756
Practice Address - Country:US
Practice Address - Phone:308-381-1690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide