Provider Demographics
NPI:1346054061
Name:SOBHANIAN, AFSANEH SARAH
Entity type:Individual
Prefix:
First Name:AFSANEH
Middle Name:SARAH
Last Name:SOBHANIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9310 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5974
Mailing Address - Country:US
Mailing Address - Phone:402-202-5780
Mailing Address - Fax:
Practice Address - Street 1:9310 S 29TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5974
Practice Address - Country:US
Practice Address - Phone:402-202-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider