Healthcare Provider Details

I. General information

NPI: 1326961145
Provider Name (Legal Business Name): MENA G MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12217 LARSON CIR
BELLEVUE NE
68123-1632
US

IV. Provider business mailing address

11030 Q ST
OMAHA NE
68137-3742
US

V. Phone/Fax

Practice location:
  • Phone: 402-460-8183
  • Fax:
Mailing address:
  • Phone: 402-718-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: