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NPI Code Detail

MEDICARE: BRITTANY BOL

MEDICARE: BRITTANY BOL
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
1372500000XChore ProviderNE
2372600000XAdult CompanionNE
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1790625663
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY BOL
Provider Business Mailing Address
First Line : 2646 Y ST
Second Line :
City : OMAHA
State : NE
Zip : 68107-4417
Country : US
Telephone Number : 402-830-4790
Fax Number :
Provider Business Practice Location Address
First Line : 2646 Y ST
Second Line :
City : OMAHA
State : NE
Zip : 68107-4417
Country : US
Telephone Number : 402-830-4790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 05/28/2026

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Directions to “ BRITTANY BOL ” Practice Location

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