Provider Demographics
NPI:1861280810
Name:EHRMANTRAUT, KIRSTI
Entity type:Individual
Prefix:
First Name:KIRSTI
Middle Name:
Last Name:EHRMANTRAUT
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 1:26 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-4204
Mailing Address - Country:US
Mailing Address - Phone:402-430-4482
Mailing Address - Fax:
Practice Address - Street 1:26 S 6TH ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-4204
Practice Address - Country:US
Practice Address - Phone:402-430-4482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant