Provider Demographics
NPI:1083425375
Name:ELIKAYA, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ELIKAYA
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 1:1410 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-2533
Mailing Address - Country:US
Mailing Address - Phone:402-570-9034
Mailing Address - Fax:
Practice Address - Street 1:1410 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-2533
Practice Address - Country:US
Practice Address - Phone:402-202-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant