Individual ProviderTaylor BurghardtStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address42nd And Emile, Omaha, NE 68198-0001(402) 559-6673PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Burghardt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1851137566Provider TypeIndividualFull NameBurghardt, TaylorGenderFemaleSole ProprietorYesEnumeration Date7/2/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address42nd And Emile, Omaha, NE 68198-0001Phone(402) 559-6673FaxUnlisted FaxMailing LocationMailing Address42nd And Emile, Omaha, NE 68198-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer