Individual
MS. BEVERLIE ANN MATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Mailing address
1601 N 84TH ST, OMAHA, NE 68114-1511
(402) 502-7588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62688
NE
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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