IndividualActive
Azeta Konseimbo Ouedraogo
NPI 1003613027 · Contractor · Omaha, NE
Provider details
- NPI number
- 1003613027
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2535 S 152nd Avenue Cir
Omaha, NE 68144-1969
Phone: (202) 288-5352
Approximate (ZIP-level) locationGet directions
Mailing address
4715 S 132nd St
Omaha, NE 68137-1899
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-27
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.