Provider Demographics
NPI:1134018336
Name:CHOUL, VANESSA PAAR
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:PAAR
Last Name:CHOUL
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 1:7200 S 84TH ST STE 19
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2118
Mailing Address - Country:US
Mailing Address - Phone:402-880-2551
Mailing Address - Fax:
Practice Address - Street 1:9710 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-2623
Practice Address - Country:US
Practice Address - Phone:402-906-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty