Provider Demographics
NPI:1720961857
Name:HAYDAR, VIYAN MAMO
Entity type:Individual
Prefix:
First Name:VIYAN
Middle Name:MAMO
Last Name:HAYDAR
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 1:724 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-3400
Mailing Address - Country:US
Mailing Address - Phone:402-419-6411
Mailing Address - Fax:
Practice Address - Street 1:9018 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1749
Practice Address - Country:US
Practice Address - Phone:402-452-8804
Practice Address - Fax:402-885-8956
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide