MEDICARE: NOUDEHOU LEON AMOUSSOU

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		NE

General Provider Information

NPI Number	:	1952259293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOUDEHOU LEON AMOUSSOU

Provider Business Mailing Address
First Line	:	1208 BELLEVUE BLVD N
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4011
Country	:	US
Telephone Number	:	402-657-8146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 BELLEVUE BLVD N
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4011
Country	:	US
Telephone Number	:	402-657-8146
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/24/2026

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Directions to “ NOUDEHOU LEON AMOUSSOU ” Practice Location

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