Provider Demographics
NPI:1659152817
Name:MURGUIA, SANJUANITA (PLMHP, PMSW)
Entity Type:Individual
Prefix:
First Name:SANJUANITA
Middle Name:
Last Name:MURGUIA
Suffix:
Gender:F
Credentials:PLMHP, PMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 SAINT MARYS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1655
Mailing Address - Country:US
Mailing Address - Phone:402-397-5809
Mailing Address - Fax:
Practice Address - Street 1:2566 SAINT MARYS AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1655
Practice Address - Country:US
Practice Address - Phone:402-397-5809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE79361041C0700X
NE136531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical