Provider Demographics
NPI:1619765443
Name:HERNANDEZ, BRIZA SARAIN
Entity type:Individual
Prefix:MISS
First Name:BRIZA
Middle Name:SARAIN
Last Name:HERNANDEZ
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 1:2222 DAVENPORT ST APT 410
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1256
Mailing Address - Country:US
Mailing Address - Phone:531-375-1711
Mailing Address - Fax:
Practice Address - Street 1:2215 Q ST APT 306
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2876
Practice Address - Country:US
Practice Address - Phone:531-375-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant