Provider Demographics
NPI:1942577143
Name:ANDRADE, NOHORA MARITZA (PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:NOHORA
Middle Name:MARITZA
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4034
Mailing Address - Country:US
Mailing Address - Phone:402-851-0254
Mailing Address - Fax:
Practice Address - Street 1:517 ELM AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4034
Practice Address - Country:US
Practice Address - Phone:402-851-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9523101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health