Individual
MRS. MARY MEGAN ENENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - GASTROENTEROLOGY, OMAHA, NE 68114-4113
(402) 955-5700
(402) 955-5720
Mailing address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
111336
NE
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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