Individual
MS. MARI BOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - NICU, OMAHA, NE 68114-4113
(402) 955-6140
(402) 955-3397
Mailing address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
65836
NE
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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