Individual
ASHLEY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N 30TH ST, SUITE 3700, OMAHA, NE 68131-2128
(402) 717-4909
(402) 717-6062
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(492) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70916
NE
363L00000X
Nurse Practitioner
Primary
112114
NE
Other
Enumeration date
09/09/2016
Last updated
09/20/2016
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