MEDICARE: ESMERALDA DIANA

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1295669935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESMERALDA DIANA

Provider Business Mailing Address
First Line	:	204 GALVIN RD N
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4899
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 E 16TH ST
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-3705
Country	:	US
Telephone Number	:	402-213-5175
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ ESMERALDA DIANA ” Practice Location

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