Provider Demographics
NPI:1851289243
Name:VAZZANO, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:VAZZANO
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 1:5101 S 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2708
Mailing Address - Country:US
Mailing Address - Phone:531-301-0518
Mailing Address - Fax:
Practice Address - Street 1:2717 S 88TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3048
Practice Address - Country:US
Practice Address - Phone:402-614-0413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider