Provider Demographics
NPI:1811871676
Name:GUERRERO, AMIARA JIMENA
Entity type:Individual
Prefix:
First Name:AMIARA
Middle Name:JIMENA
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14578 DECATUR ST # NE68154
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1178
Mailing Address - Country:US
Mailing Address - Phone:402-253-5688
Mailing Address - Fax:
Practice Address - Street 1:14578 DECATUR ST # NE68154
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1178
Practice Address - Country:US
Practice Address - Phone:402-253-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide