Healthcare Provider Details

I. General information

NPI: 1114731320
Provider Name (Legal Business Name): LARASIA VRANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 TIERRA DR APT 303
LINCOLN NE
68516-5045
US

IV. Provider business mailing address

2841 TIERRA DR APT 303
LINCOLN NE
68516-5045
US

V. Phone/Fax

Practice location:
  • Phone: 402-440-0056
  • Fax:
Mailing address:
  • Phone: 402-440-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: