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NPI Code Detail

MEDICARE: MARIAH VICHARRA

MEDICARE: MARIAH VICHARRA
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
1374U00000XHome Health AideNE

General Provider Information

NPI Number : 1962368464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH VICHARRA
Provider Business Mailing Address
First Line : 1412 N 45TH ST APT 8
Second Line :
City : LINCOLN
State : NE
Zip : 68503-2221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13750 MILLARD AVE STE 150
Second Line :
City : OMAHA
State : NE
Zip : 68137-2703
Country : US
Telephone Number : 402-403-1222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ MARIAH VICHARRA ” Practice Location

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