Healthcare Provider Details

I. General information

NPI: 1992628523
Provider Name (Legal Business Name): TANIA L CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 S SADDLE CREEK ROAD
OMAHA NE
68107
US

IV. Provider business mailing address

1302 S SADDLE CREEK ROAD
OMAHA NE
68107
US

V. Phone/Fax

Practice location:
  • Phone: 531-210-8137
  • Fax:
Mailing address:
  • Phone: 531-210-8137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number376J0000X
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: