Provider Demographics
NPI:1063308161
Name:SANDERS, A'MYA I
Entity type:Individual
Prefix:
First Name:A'MYA
Middle Name:
Last Name:SANDERS
Suffix:I
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 1:4236 ELLISON AVE # NE68111
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-1438
Mailing Address - Country:US
Mailing Address - Phone:531-255-7100
Mailing Address - Fax:
Practice Address - Street 1:4236 ELLISON AVE # NE68111
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-1438
Practice Address - Country:US
Practice Address - Phone:531-255-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide