Healthcare Provider Details

I. General information

NPI: 1497261309
Provider Name (Legal Business Name): MARIA VERONICA ARTIAGA PLDAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 X ST
LINCOLN NE
68505-2246
US

IV. Provider business mailing address

6530 X ST
LINCOLN NE
68505-2246
US

V. Phone/Fax

Practice location:
  • Phone: 402-875-2583
  • Fax: 402-405-0031
Mailing address:
  • Phone: 402-875-2583
  • Fax: 402-405-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-1514
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: