MEDICARE: BREONNA ANNE DUNCAN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1356142129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREONNA ANNE DUNCAN

Provider Business Mailing Address
First Line	:	11703 S 25TH AVENUE CIR
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68123-5553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4204 S 179TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-3648
Country	:	US
Telephone Number	:	402-312-9357
Fax Number	:

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

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	02/13/2026

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Directions to “ BREONNA ANNE DUNCAN ” Practice Location

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