Healthcare Provider Details

I. General information

NPI: 1528995958
Provider Name (Legal Business Name): PAW SAW WAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 N 63RD ST
OMAHA NE
68104-4028
US

IV. Provider business mailing address

2506 N 63RD ST
OMAHA NE
68104-4028
US

V. Phone/Fax

Practice location:
  • Phone: 402-320-5319
  • Fax:
Mailing address:
  • Phone: 402-320-5319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: