Provider Demographics
NPI:1952108391
Name:TRAORE, BIRAMA
Entity type:Individual
Prefix:
First Name:BIRAMA
Middle Name:
Last Name:TRAORE
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 1:5022 S 114TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2329
Mailing Address - Country:US
Mailing Address - Phone:402-630-0018
Mailing Address - Fax:
Practice Address - Street 1:1728 N 110TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1606
Practice Address - Country:US
Practice Address - Phone:402-612-6425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist