Ndaizeye Immaculee
Contractor in Omaha, NE. Individual provider (NPI-1).
NPI number1982313086
StatusActive
Last updated in NPPESNov 16, 2022
Details
- NPI
- 1982313086
- Entity type
- Individual (NPI-1)
- Name
- Ndaizeye Immaculee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Nov 16, 2022
- Last updated
- Nov 16, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | H13603076 | NE | Yes |
Practice location
4312 Burdette StOmaha, NE 68111-3911
Phone 402-804-9568
Mailing address
4312 Burdette StOmaha, NE 68111-3911
Phone 402-804-9568
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