Provider Demographics
NPI:1689552937
Name:GORBUN, ESTER OLGA ALEKSANDR
Entity type:Individual
Prefix:
First Name:ESTER OLGA
Middle Name:ALEKSANDR
Last Name:GORBUN
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 1:10650 N 135TH ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-1256
Mailing Address - Country:US
Mailing Address - Phone:402-904-0336
Mailing Address - Fax:
Practice Address - Street 1:10650 N 135TH ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NE
Practice Address - Zip Code:68462-1256
Practice Address - Country:US
Practice Address - Phone:402-904-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant