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Individual

MS. MARY A. ALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
110 N 29TH ST, SUITE 301, NORFOLK, NE 68701-4424
(402) 844-4828
(402) 844-8175
Mailing address
110 N 29TH ST, SUITE 201, NORFOLK, NE 68701-4424
(402) 844-8121
(402) 844-8122

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110665
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025561900
NE
Enumeration date
06/29/2006
Last updated
07/13/2011
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