Provider Demographics
NPI:1669365953
Name:ADEN, BADRIYA BARE
Entity type:Individual
Prefix:
First Name:BADRIYA
Middle Name:BARE
Last Name:ADEN
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 1:208 E 39TH ST APT 338
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-3687
Mailing Address - Country:US
Mailing Address - Phone:817-808-6232
Mailing Address - Fax:
Practice Address - Street 1:208 E 39TH ST APT 338
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3687
Practice Address - Country:US
Practice Address - Phone:817-808-6232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide