Provider Demographics
NPI:1932091683
Name:HTOO, BAHBLU ANGEL
Entity type:Individual
Prefix:
First Name:BAHBLU
Middle Name:ANGEL
Last Name:HTOO
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 1:5530 N 61ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1608
Mailing Address - Country:US
Mailing Address - Phone:531-205-9945
Mailing Address - Fax:
Practice Address - Street 1:75950 ROAD 423
Practice Address - Street 2:
Practice Address - City:COZAD
Practice Address - State:NE
Practice Address - Zip Code:69130-5210
Practice Address - Country:US
Practice Address - Phone:970-628-5087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant