Provider Demographics
NPI:1568357051
Name:GILLASPIE, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GILLASPIE
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 1:4525 F ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3756
Mailing Address - Country:US
Mailing Address - Phone:402-975-8079
Mailing Address - Fax:402-975-2293
Practice Address - Street 1:635 S.4TH STREET
Practice Address - Street 2:POBOX 138
Practice Address - City:EAGLE
Practice Address - State:NE
Practice Address - Zip Code:68347
Practice Address - Country:US
Practice Address - Phone:402-770-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion