Individual
REGINA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1805 N 110TH AVE, OMAHA, NE 68154-1607
(402) 451-1797
Mailing address
1805 N 110TH AVE, OMAHA, NE 68154-1607
(402) 451-1797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96595
NE
164W00000X
Licensed Practical Nurse
25934
NE
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/15/2019
Last updated
09/26/2025
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