Provider Demographics
NPI:1255138574
Name:NEJDL, KARLA KAY
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:KAY
Last Name:NEJDL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:KAY
Other - Last Name:BURRIELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2756 SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2056
Mailing Address - Country:US
Mailing Address - Phone:402-218-5171
Mailing Address - Fax:
Practice Address - Street 1:2756 SARATOGA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2056
Practice Address - Country:US
Practice Address - Phone:402-218-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home