MEDICARE: KAREN GUADALUPE MEJIA

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1366240343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN GUADALUPE MEJIA

Provider Business Mailing Address
First Line	:	7197 PINE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68106-2811
Country	:	US
Telephone Number	:	531-325-1402
Fax Number	:

Provider Business Practice Location Address
First Line	:	4542 N 63RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-2023
Country	:	US
Telephone Number	:	531-389-5703
Fax Number	:

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

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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