Healthcare Provider Details

I. General information

NPI: 1952287864
Provider Name (Legal Business Name): MRS. MEGAN HELEN HUMBLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9239 W CENTER RD STE 100
OMAHA NE
68124-1900
US

IV. Provider business mailing address

957 N 24TH AVE
BLAIR NE
68008-1163
US

V. Phone/Fax

Practice location:
  • Phone: 402-399-8888
  • Fax:
Mailing address:
  • Phone: 402-360-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number82590
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: