Individual
MARY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1723 S COUNTY ROAD 29, VALLEY, NE 68064-5216
(402) 719-0834
Mailing address
1723 S COUNTY ROAD 29, VALLEY, NE 68064-5216
(402) 719-0834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35908
NE
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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