# ORIGEN HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659119204
- **Authorized official:** NAZIRA USMANOVA PMHNP, PNP, AGNP (CEO/OWNER)
- **Authorized official phone:** (402) 680-1802

## Contact information

- **Practice address:** 12313 GOLD ST, OMAHA, NE 68144-2760
- **Practice address phone:** (402) 680-1802
- **Practice address fax:** (402) 939-0069
- **Mailing address:** 7509 SOUTHSHORE ST, PAPILLION, NE 68046-3626
- **Mailing address phone:** (402) 680-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 10/14/2024