Provider Demographics
NPI:1386445583
Name:ALEMU, EDOM T
Entity type:Individual
Prefix:MISS
First Name:EDOM
Middle Name:T
Last Name:ALEMU
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 1:2441 N 44TH ST APT 12
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3807
Mailing Address - Country:US
Mailing Address - Phone:402-802-1521
Mailing Address - Fax:
Practice Address - Street 1:2441 N 44TH ST APT 12
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3807
Practice Address - Country:US
Practice Address - Phone:402-802-1521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH13633087376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker