Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Petersen

Individual provider Adult Companion · NPI 1508733171

Samuel Petersen is an Adult Companion in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7758 S 191st St
Omaha, NE 68136-1662
Phone: (531) 329-0024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1508733171
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address7758 S 191st St, Omaha, NE 68136-1662

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