Provider Demographics
NPI:1740007160
Name:FARMER, NAIYAH RAE
Entity type:Individual
Prefix:
First Name:NAIYAH
Middle Name:RAE
Last Name:FARMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAIYAH
Other - Middle Name:RAE
Other - Last Name:MEYERES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1358 MEADOWLARK CIR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-8697
Mailing Address - Country:US
Mailing Address - Phone:402-651-1286
Mailing Address - Fax:
Practice Address - Street 1:2943 E ELKHORN DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-7600
Practice Address - Country:US
Practice Address - Phone:402-727-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide