Provider Demographics
NPI:1093509721
Name:CUBIAS ESCALANTE, ANDREA EUNICE
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:EUNICE
Last Name:CUBIAS ESCALANTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1484
Mailing Address - Country:US
Mailing Address - Phone:531-777-8430
Mailing Address - Fax:
Practice Address - Street 1:4716 N 15TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1484
Practice Address - Country:US
Practice Address - Phone:531-777-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel