Healthcare Provider Details

I. General information

NPI: 1851198139
Provider Name (Legal Business Name): MARIA F MURILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13422 CORBY CIR
OMAHA NE
68164-4001
US

IV. Provider business mailing address

7110 F ST
OMAHA NE
68117-1014
US

V. Phone/Fax

Practice location:
  • Phone: 712-890-8216
  • Fax:
Mailing address:
  • Phone: 402-455-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number95421
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: