Individual
ANDRIA BEAURIVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 S 39TH ST, LINCOLN, NE 68506-3235
(402) 525-7381
Mailing address
2721 S 39TH ST, LINCOLN, NE 68506-3235
(402) 525-7381
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NE
Other
Enumeration date
11/15/2025
Last updated
11/15/2025
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