Healthcare Provider Details

I. General information

NPI: 1477362291
Provider Name (Legal Business Name): CHERYL LANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4845 CURTIS AVE
OMAHA NE
68104-1300
US

IV. Provider business mailing address

4845 CURTIS AVE
OMAHA NE
68104-1300
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-2180
  • Fax:
Mailing address:
  • Phone: 531-299-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number26729
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: