Provider Demographics
NPI:1972490027
Name:ATALE, PILAYABA MARTIAL (DSP)
Entity type:Individual
Prefix:MR
First Name:PILAYABA
Middle Name:MARTIAL
Last Name:ATALE
Suffix:
Gender:M
Credentials:DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 S 157TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1177
Mailing Address - Country:US
Mailing Address - Phone:402-210-5704
Mailing Address - Fax:
Practice Address - Street 1:7925 S 157TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1177
Practice Address - Country:US
Practice Address - Phone:402-210-5704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty