Provider Demographics
NPI:1871319400
Name:WADO, MUHAMMEDAMIN SADO (RN)
Entity type:Individual
Prefix:
First Name:MUHAMMEDAMIN
Middle Name:SADO
Last Name:WADO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 W BRIXTON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-5362
Mailing Address - Country:US
Mailing Address - Phone:206-664-1662
Mailing Address - Fax:
Practice Address - Street 1:5460 W BRIXTON DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-5362
Practice Address - Country:US
Practice Address - Phone:206-664-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
NE93885163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant