Individual
MARLYN MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S 74TH PLZ, OMAHA, NE 68114-4667
(402) 444-6500
Mailing address
12030 N 161ST AVE, BENNINGTON, NE 68007-7462
(402) 630-5559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41057
NE
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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