Healthcare Provider Details

I. General information

NPI: 1144029174
Provider Name (Legal Business Name): MRS. YANISBEL BUENO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 LAUREL LN
NORFOLK NE
68701-2642
US

IV. Provider business mailing address

1705 LAUREL LN
NORFOLK NE
68701-2642
US

V. Phone/Fax

Practice location:
  • Phone: 402-860-6726
  • Fax:
Mailing address:
  • Phone: 402-860-6726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: