Individual
MACY MANDELINE DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2717 S 108TH ST STE 200, OMAHA, NE 68144-4811
(402) 933-8201
(402) 933-8301
Mailing address
1001 S OHIO ST, SALINA, KS 67401-5364
(785) 827-6453
(785) 823-1255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
112734
NE
363LF0000X
Family Nurse Practitioner
Primary
53-78509-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201248070B
—
KS
Enumeration date
03/21/2019
Last updated
03/07/2025
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