MEDICARE: NATISHA GEORGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1164306148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATISHA GEORGE

Provider Business Mailing Address
First Line	:	7353 GRANT ST APT 6
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-6936
Country	:	US
Telephone Number	:	402-451-1787
Fax Number	:

Provider Business Practice Location Address
First Line	:	8529 LAFAYETTE AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-1448
Country	:	US
Telephone Number	:	402-451-1787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “ NATISHA GEORGE ” Practice Location

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