Provider Demographics
NPI:1649071143
Name:FORTE, NAYR PRESTON
Entity type:Individual
Prefix:
First Name:NAYR
Middle Name:PRESTON
Last Name:FORTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1615
Mailing Address - Country:US
Mailing Address - Phone:531-222-7309
Mailing Address - Fax:
Practice Address - Street 1:2510 N CLARKSON ST APT 1206
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2341
Practice Address - Country:US
Practice Address - Phone:402-919-4628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator