Provider Demographics
NPI:1265321384
Name:GILREATH, FAITH
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:GILREATH
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 1:7200 S 84TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2116
Mailing Address - Country:US
Mailing Address - Phone:531-999-2503
Mailing Address - Fax:
Practice Address - Street 1:2708 S 13TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1550
Practice Address - Country:US
Practice Address - Phone:402-250-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider