Provider Demographics
NPI:1538059936
Name:AHILON-CALMO, MAIRA
Entity type:Individual
Prefix:
First Name:MAIRA
Middle Name:
Last Name:AHILON-CALMO
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 1:401 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-2305
Mailing Address - Country:US
Mailing Address - Phone:308-746-6871
Mailing Address - Fax:
Practice Address - Street 1:401 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-2305
Practice Address - Country:US
Practice Address - Phone:308-746-6871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion