Healthcare Provider Details

I. General information

NPI: 1205741766
Provider Name (Legal Business Name): ANTHONY DARIO TRAGGIAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 LINCOLN RD
BELLEVUE NE
68005-3907
US

IV. Provider business mailing address

1214 HILLCREST DR
BELLEVUE NE
68005-3617
US

V. Phone/Fax

Practice location:
  • Phone: 402-291-1203
  • Fax:
Mailing address:
  • Phone: 531-721-9303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: