Provider Demographics
NPI:1962391904
Name:MATEO, VALESKA YADIRA
Entity type:Individual
Prefix:
First Name:VALESKA
Middle Name:YADIRA
Last Name:MATEO
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 1:445 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2200
Mailing Address - Country:US
Mailing Address - Phone:402-821-8457
Mailing Address - Fax:
Practice Address - Street 1:445 E 13TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2200
Practice Address - Country:US
Practice Address - Phone:402-821-8457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker