Provider Demographics
NPI:1780572859
Name:ISIORDIA HUIZAR, ROSALINA
Entity type:Individual
Prefix:
First Name:ROSALINA
Middle Name:
Last Name:ISIORDIA HUIZAR
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 1:110 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-3233
Mailing Address - Country:US
Mailing Address - Phone:402-314-6355
Mailing Address - Fax:
Practice Address - Street 1:445 E 13TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2200
Practice Address - Country:US
Practice Address - Phone:402-890-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker