Provider Demographics
NPI:1174314876
Name:HAYDAW, LATEEFA NAWAF
Entity type:Individual
Prefix:
First Name:LATEEFA
Middle Name:NAWAF
Last Name:HAYDAW
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 1:5602 LOGAN AVE APT B
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-1195
Mailing Address - Country:US
Mailing Address - Phone:402-570-6399
Mailing Address - Fax:
Practice Address - Street 1:5602 LOGAN AVE APT B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-1195
Practice Address - Country:US
Practice Address - Phone:402-570-6399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide