Provider Demographics
NPI:1083335103
Name:LEVERING, VAYLEZ
Entity Type:Individual
Prefix:
First Name:VAYLEZ
Middle Name:
Last Name:LEVERING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6704 N 51ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2519
Mailing Address - Country:US
Mailing Address - Phone:402-939-9699
Mailing Address - Fax:
Practice Address - Street 1:6704 N 51ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2519
Practice Address - Country:US
Practice Address - Phone:402-939-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide