Individual
AMANDA LEE PANICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, CMA
Contact information
Practice address
5618 N 14TH AVE, OMAHA, NE 68110-1134
(531) 299-2062
(531) 299-2078
Mailing address
5618 N 14TH AVE, OMAHA, NE 68110-1134
(531) 299-2062
(531) 299-2078
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
NE
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/15/2025
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