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Individual

MRS. VANESSA L SCULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Mailing address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 391-4855
(402) 391-6818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101284
NE
367500000X
Certified Registered Nurse Anesthetist
665781
NY

Other

Enumeration date
01/09/2013
Last updated
01/30/2019
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