Healthcare Provider Details

I. General information

NPI: 1417898578
Provider Name (Legal Business Name): VALERIE HAAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10015 KANSAS PLZ APT 7
OMAHA NE
68134-1338
US

IV. Provider business mailing address

2803 N 83RD ST
OMAHA NE
68134-6311
US

V. Phone/Fax

Practice location:
  • Phone: 402-510-5779
  • Fax:
Mailing address:
  • Phone: 402-619-6798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number88318-25
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: