Healthcare Provider Details

I. General information

NPI: 1225944275
Provider Name (Legal Business Name): MARIA FERNANDA SALES CASSANJES ALVES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 S 45TH ST
LINCOLN NE
68506-1207
US

IV. Provider business mailing address

2032 S 45TH ST
LINCOLN NE
68506-1207
US

V. Phone/Fax

Practice location:
  • Phone: 402-418-2472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: