Individual
ANNETTE RENCEE TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2857 MANDERSON ST, OMAHA, NE 68111-2980
(402) 215-5045
Mailing address
2857 MANDERSON ST, OMAHA, NE 68111-2980
(402) 215-5045
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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