Provider Demographics
NPI:1972492577
Name:BIGANDO, DEBRA JO
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JO
Last Name:BIGANDO
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 1:4410 N 141ST CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-5041
Mailing Address - Country:US
Mailing Address - Phone:402-515-0894
Mailing Address - Fax:
Practice Address - Street 1:12221 SIGNAL DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3431
Practice Address - Country:US
Practice Address - Phone:402-670-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion