Provider Demographics
NPI:1316747645
Name:BIBBS, BRITTANY ELAINE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELAINE
Last Name:BIBBS
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 1:4665 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1456
Mailing Address - Country:US
Mailing Address - Phone:402-515-8964
Mailing Address - Fax:
Practice Address - Street 1:4665 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-1456
Practice Address - Country:US
Practice Address - Phone:402-515-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE87990376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty