Individual
MINDY R CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16929 FRANCES ST, STE 103, OMAHA, NE 68130-4684
(402) 758-5821
(402) 898-8355
Mailing address
16929 FRANCES ST, STE 103, OMAHA, NE 68130-4684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111370
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098611101
MEDICARE
NE
Enumeration date
07/09/2012
Last updated
03/17/2018
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