Provider Demographics
NPI:1942186374
Name:BROWN, CEBRIA TREYCHELL
Entity type:Individual
Prefix:
First Name:CEBRIA
Middle Name:TREYCHELL
Last Name:BROWN
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 1:2009 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2114
Mailing Address - Country:US
Mailing Address - Phone:531-204-5187
Mailing Address - Fax:
Practice Address - Street 1:1913 MILITARY AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3932
Practice Address - Country:US
Practice Address - Phone:531-375-1663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide