Individual
HTEE THA BWE PAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7641 NEBRASKA AVE, OMAHA, NE 68134-2158
(806) 340-2703
Mailing address
7641 NEBRASKA AVE, OMAHA, NE 68134-2158
(806) 340-2703
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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