Healthcare Provider Details

I. General information

NPI: 1992628523
Provider Name (Legal Business Name): TANIA LIZBETH CRUZ-ZAVALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 S 33RD AVE
OMAHA NE
68107-3928
US

IV. Provider business mailing address

6111 S 33RD AVE
OMAHA NE
68107-3928
US

V. Phone/Fax

Practice location:
  • Phone: 402-395-7232
  • Fax:
Mailing address:
  • Phone: 402-395-7232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberH14202460
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberH14202460
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: