Healthcare Provider Details

I. General information

NPI: 1497675813
Provider Name (Legal Business Name): FATINA ABDRABOH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 LILLIAN ST APT 8A
BELLEVUE NE
68147-2119
US

IV. Provider business mailing address

2403 LILLIAN ST APT 8A
BELLEVUE NE
68147-2119
US

V. Phone/Fax

Practice location:
  • Phone: 712-314-8787
  • Fax:
Mailing address:
  • Phone: 712-314-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: