Provider Demographics
NPI:1801609649
Name:WRIGHT-DIAL, NAKITA
Entity type:Individual
Prefix:
First Name:NAKITA
Middle Name:
Last Name:WRIGHT-DIAL
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 1:6955 N 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-5217
Mailing Address - Country:US
Mailing Address - Phone:402-943-7704
Mailing Address - Fax:
Practice Address - Street 1:6955 N 88TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-5217
Practice Address - Country:US
Practice Address - Phone:402-943-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant