Provider Demographics
NPI:1447149687
Name:AUWERDA, PATRICIA RUTH
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:RUTH
Last Name:AUWERDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:K
Other - Last Name:AUWERDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:KEYSTONE
Mailing Address - State:NE
Mailing Address - Zip Code:69144-0050
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KEYSTONE
Practice Address - State:NE
Practice Address - Zip Code:69144-1012
Practice Address - Country:US
Practice Address - Phone:308-289-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE80892983385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care