Provider Demographics
NPI:1952108201
Name:TAYLOR, D'METRIANNA
Entity type:Individual
Prefix:
First Name:D'METRIANNA
Middle Name:
Last Name:TAYLOR
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 1:2909 N 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-3701
Mailing Address - Country:US
Mailing Address - Phone:402-346-6164
Mailing Address - Fax:402-346-6928
Practice Address - Street 1:1905 HARNEY ST STE 703
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2366
Practice Address - Country:US
Practice Address - Phone:402-346-6164
Practice Address - Fax:402-346-6928
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide