Individual
MARY C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-4342
Mailing address
PO BOX 2159, OMAHA, NE 68103-2159
(402) 280-4342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110920
NE
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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