Healthcare Provider Details

I. General information

NPI: 1942009113
Provider Name (Legal Business Name): NATALYA CRITTENDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12680 C ST
OMAHA NE
68144-4071
US

IV. Provider business mailing address

6821 GILES RD APT 204
PAPILLION NE
68133-2188
US

V. Phone/Fax

Practice location:
  • Phone: 402-598-3502
  • Fax:
Mailing address:
  • Phone: 402-709-1127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: