Anne Ausdemore
Individual provider Active NPI Personal Care Attendant · Omaha, NE
NPI 1376351569 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1376351569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 4444 Marinda St
Omaha, NE 68105-8500 - Phone
- (531) 299-1760
- NPI assigned
- Dec 20, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NE | Yes |
Addresses
Primary practice location
4444 Marinda St
Omaha, NE 68105-8500
Mailing address
4444 Marinda St
Omaha, NE 68105-8500
Phone (531) 299-1760
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.