Provider Demographics
NPI:1902612260
Name:VONFELDT, JOSHUA M
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:M
Last Name:VONFELDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1467
Mailing Address - Country:US
Mailing Address - Phone:402-570-4253
Mailing Address - Fax:
Practice Address - Street 1:5910 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1467
Practice Address - Country:US
Practice Address - Phone:402-570-4253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion