Taber Lee Spencer

Individual provider Active NPI Adult Companion · Central City, NE

NPI 1821807652 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1821807652
Entity type
Individual (NPI type 1)
Primary specialty
Adult Companion 372600000X
Practice address
1506 23Rd St
Central City, NE 68826-2236
Phone
(308) 850-1434
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Yes

Addresses

Primary practice location

1506 23Rd St
Central City, NE 68826-2236

Mailing address

2536 Carleton Ave
Grand Island, NE 68803-1221
Phone (308) 385-5775

Other providers in Central City, NE

All providers in Central City, NE · Adult Companion in Nebraska

Sources for this page

Verify at the official NPI Registry.