Provider Demographics
NPI:1306643358
Name:GARANE, GOOFOU WILFRIED MICHAEL
Entity type:Individual
Prefix:
First Name:GOOFOU
Middle Name:WILFRIED MICHAEL
Last Name:GARANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 ARBOR ST STE 206
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2066
Mailing Address - Country:US
Mailing Address - Phone:402-718-6900
Mailing Address - Fax:
Practice Address - Street 1:10018 HIMEBAUGH PLZ APT 9
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1348
Practice Address - Country:US
Practice Address - Phone:402-306-3029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant