Healthcare Provider Details

I. General information

NPI: 1437049962
Provider Name (Legal Business Name): DAISY BARRAGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 NEWPORT AVE
OMAHA NE
68152-2152
US

IV. Provider business mailing address

10605 S 18TH CIR
BELLEVUE NE
68123-1027
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-3900
  • Fax:
Mailing address:
  • Phone: 402-813-4536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116129
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: