Healthcare Provider Details

I. General information

NPI: 1932034832
Provider Name (Legal Business Name): YAMENAH AMBREEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988437 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8437
US

IV. Provider business mailing address

988437 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8437
US

V. Phone/Fax

Practice location:
  • Phone: 402-836-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number10607
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: