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NPI Code Detail

MEDICARE: MYNESHA SPENCER

MEDICARE: MYNESHA SPENCER
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
1376J00000XHomemakerNE

General Provider Information

NPI Number : 1841162757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYNESHA SPENCER
Provider Business Mailing Address
First Line : PO BOX 12362
Second Line :
City : OMAHA
State : NE
Zip : 68112-0362
Country : US
Telephone Number : 478-294-0229
Fax Number :
Provider Business Practice Location Address
First Line : 2105 TITAN SPRINGS DR
Second Line :
City : PAPILLION
State : NE
Zip : 68133-3421
Country : US
Telephone Number : 478-294-0229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2025
Last Update Date : 09/19/2025

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Directions to “ MYNESHA SPENCER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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