Provider Demographics
NPI:1770473076
Name:CABRERA, LETICIA ISABEL
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:ISABEL
Last Name:CABRERA
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 1:4211 S 143RD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4505
Mailing Address - Country:US
Mailing Address - Phone:402-502-8001
Mailing Address - Fax:
Practice Address - Street 1:4211 S 143RD CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-4505
Practice Address - Country:US
Practice Address - Phone:402-502-8001
Practice Address - Fax:641-278-0295
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist