Individual
NYISHA LEEBERTA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6056 ELLISON AVE, OMAHA, NE 68104-1664
(402) 590-3699
Mailing address
6056 ELLISON AVE, OMAHA, NE 68104-1664
(402) 590-3699
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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