Healthcare Provider Details

I. General information

NPI: 1992669675
Provider Name (Legal Business Name): NANCY J BORO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S HWS CLEVELAND BLVD
ELKHORN NE
68022-4460
US

IV. Provider business mailing address

4926 ASPEN DR
OMAHA NE
68157-2242
US

V. Phone/Fax

Practice location:
  • Phone: 402-960-3193
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: