Provider Demographics
NPI:1538973912
Name:DORMER, TERRI
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:DORMER
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:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:CERESCO
Mailing Address - State:NE
Mailing Address - Zip Code:68017-0543
Mailing Address - Country:US
Mailing Address - Phone:402-416-6723
Mailing Address - Fax:
Practice Address - Street 1:3883 NORMAL BLVD STE 206
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5218
Practice Address - Country:US
Practice Address - Phone:402-488-4421
Practice Address - Fax:402-904-4124
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant