MEDICARE: MRS. YANISBEL BUENO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant		NE

General Provider Information

NPI Number	:	1144029174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YANISBEL BUENO

Provider Business Mailing Address
First Line	:	1705 LAUREL LN
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2642
Country	:	US
Telephone Number	:	402-860-6726
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 LAUREL LN
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2642
Country	:	US
Telephone Number	:	402-860-6726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

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Directions to “ MRS. YANISBEL BUENO ” Practice Location

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