Healthcare Provider Details

I. General information

NPI: 1891609079
Provider Name (Legal Business Name): WOMEN4HER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 N MAIN ST STE 2
FREMONT NE
68025-5086
US

IV. Provider business mailing address

529 N MAIN ST STE 2
FREMONT NE
68025-5086
US

V. Phone/Fax

Practice location:
  • Phone: 402-620-1038
  • Fax:
Mailing address:
  • Phone: 402-620-1038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERESE M MOORE
Title or Position: CEO
Credential: RN, IBCLC
Phone: 402-620-1038