Individual
CARLY VACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-9802
(402) 941-1699
(402) 941-1688
Mailing address
450 E 23RD ST, FREMONT, NE 68025-9802
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
70557
NE
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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