Provider Demographics
NPI:1437047008
Name:EARLY, VANETTA
Entity type:Individual
Prefix:
First Name:VANETTA
Middle Name:
Last Name:EARLY
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 1:11429 W MAPLE RD APT 10
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2658
Mailing Address - Country:US
Mailing Address - Phone:402-598-1680
Mailing Address - Fax:
Practice Address - Street 1:3502 LAKE ST APT 232
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3678
Practice Address - Country:US
Practice Address - Phone:402-502-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider