Provider Demographics
NPI:1700611985
Name:ABDULZEHRA, THEKRA
Entity type:Individual
Prefix:
First Name:THEKRA
Middle Name:
Last Name:ABDULZEHRA
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 1:1925 PREAMBLE LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1156
Mailing Address - Country:US
Mailing Address - Phone:402-405-8301
Mailing Address - Fax:
Practice Address - Street 1:1925 PREAMBLE LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1156
Practice Address - Country:US
Practice Address - Phone:402-405-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider