Individual
MARY M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N 175TH ST STE 1000, OMAHA, NE 68118-3581
(402) 955-5437
(402) 955-7310
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
112802
NE
Other
Enumeration date
09/24/2019
Last updated
01/22/2020
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