Healthcare Provider Details

I. General information

NPI: 1497693311
Provider Name (Legal Business Name): MANAR HUSSEIN AL-TEWAIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 CHADD CT
LINCOLN NE
68521-2738
US

IV. Provider business mailing address

3716 CHADD CT
LINCOLN NE
68521-2738
US

V. Phone/Fax

Practice location:
  • Phone: 531-207-7569
  • Fax:
Mailing address:
  • Phone: 531-207-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: