Provider Demographics
NPI:1427932243
Name:HASSAN, HALA MUSTAFA ABDELRAHIM
Entity type:Individual
Prefix:
First Name:HALA
Middle Name:MUSTAFA ABDELRAHIM
Last Name:HASSAN
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 1:3902 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1728
Mailing Address - Country:US
Mailing Address - Phone:402-216-8123
Mailing Address - Fax:
Practice Address - Street 1:3902 N 23RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1728
Practice Address - Country:US
Practice Address - Phone:402-216-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide