Provider Demographics
NPI:1881566198
Name:NKOUME ASSIANA, EDIANETH TIPHAINE
Entity type:Individual
Prefix:
First Name:EDIANETH TIPHAINE
Middle Name:
Last Name:NKOUME ASSIANA
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 1:11807 AMERADO BLVD APT 1117
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-3155
Mailing Address - Country:US
Mailing Address - Phone:531-292-2132
Mailing Address - Fax:
Practice Address - Street 1:11807 AMERADO BLVD
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1382
Practice Address - Country:US
Practice Address - Phone:531-292-2132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion