Provider Demographics
NPI:1114713260
Name:GILES, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:GILES
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 1:6304 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-1255
Mailing Address - Country:US
Mailing Address - Phone:402-671-2877
Mailing Address - Fax:
Practice Address - Street 1:9814 M ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2056
Practice Address - Country:US
Practice Address - Phone:712-444-0878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide