Individual
MRS. CARRIE ANN WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 S 70TH ST, SUITE 117, LINCOLN, NE 68516-4283
(402) 235-4701
Mailing address
4500 S 70TH ST STE 117, LINCOLN, NE 68516-4283
(402) 235-4701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113352
NE
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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