Provider Demographics
NPI:1891596482
Name:CONTRERAS, LACRETIA ESSIELEE (CNA)
Entity type:Individual
Prefix:
First Name:LACRETIA
Middle Name:ESSIELEE
Last Name:CONTRERAS
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N 116TH ST APT B6
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1534
Mailing Address - Country:US
Mailing Address - Phone:402-202-4730
Mailing Address - Fax:
Practice Address - Street 1:625 N 116TH ST APT B6
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1534
Practice Address - Country:US
Practice Address - Phone:402-202-4730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide