Provider Demographics
NPI:1235013517
Name:TAW, NAW EH TAR
Entity type:Individual
Prefix:
First Name:NAW EH TAR
Middle Name:
Last Name:TAW
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 1:8412 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1366
Mailing Address - Country:US
Mailing Address - Phone:402-983-4803
Mailing Address - Fax:
Practice Address - Street 1:8412 WYOMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1366
Practice Address - Country:US
Practice Address - Phone:402-983-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant