SearchNebraska372600000X

Ebony Requejo

NPI 1811831126 · on the registry since 2026 · sole proprietor

Practice

Address
2112 Independence Dr
Lincoln, NE 68521
Phone
(402) 349-4122

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska