Provider Demographics
NPI:1902616170
Name:LITTLETON, DIANA (CNA)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:LETCHWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8017 RAVEN OAKS DR STE 114
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-1800
Mailing Address - Country:US
Mailing Address - Phone:402-981-3494
Mailing Address - Fax:
Practice Address - Street 1:16909 LAKESIDE HILLS PLZ
Practice Address - Street 2:SUITE 108
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-932-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion