Healthcare Provider Details

I. General information

NPI: 1760672216
Provider Name (Legal Business Name): NURSE PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 N 76TH ST
OMAHA NE
68114-3681
US

IV. Provider business mailing address

344 N. 76TH ST
OMAHA NE
68114
US

V. Phone/Fax

Practice location:
  • Phone: 402-399-1700
  • Fax: 402-393-0883
Mailing address:
  • Phone: 402-399-1700
  • Fax: 402-393-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number287072
License Number StateNE

VIII. Authorized Official

Name: SALLY J VILMONT
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 402-399-1700