Provider Demographics
NPI:1205728532
Name:MORIMOTO, ALEXANDRIA N (RN,BSN)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:N
Last Name:MORIMOTO
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:OESTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23439 AGEE LN
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NE
Mailing Address - Zip Code:68069-3410
Mailing Address - Country:US
Mailing Address - Phone:402-214-4364
Mailing Address - Fax:
Practice Address - Street 1:317 S 17TH ST STE 730
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1901
Practice Address - Country:US
Practice Address - Phone:402-410-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24612163WW0000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care