Healthcare Provider Details

I. General information

NPI: 1952106940
Provider Name (Legal Business Name): DEBORAH DULIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11635 ARBOR ST
OMAHA NE
68144-5000
US

IV. Provider business mailing address

15840 REDWOOD ST
OMAHA NE
68136-3166
US

V. Phone/Fax

Practice location:
  • Phone: 402-506-9368
  • Fax:
Mailing address:
  • Phone: 402-658-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: