Provider Demographics
NPI:1396925483
Name:SOLOMAN, DEBRA MARIE (CMA)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MARIE
Last Name:SOLOMAN
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8919 BURT ST APT 206
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2771
Mailing Address - Country:US
Mailing Address - Phone:402-932-2466
Mailing Address - Fax:
Practice Address - Street 1:8919 BURT ST APT 206
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2771
Practice Address - Country:US
Practice Address - Phone:402-932-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE0075997172V00000X, 374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide