Healthcare Provider Details

I. General information

NPI: 1710822994
Provider Name (Legal Business Name): MARQUIZ FRANKLIN-MILLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6336 PIERCE ST
OMAHA NE
68106-1530
US

IV. Provider business mailing address

6336 PIERCE ST
OMAHA NE
68106-1530
US

V. Phone/Fax

Practice location:
  • Phone: 402-779-9290
  • Fax:
Mailing address:
  • Phone: 402-779-9290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: