Individual
PARVINA MANSUROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(347) 794-0299
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(347) 794-0299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82845
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101707
NE
Other
Enumeration date
07/25/2021
Last updated
11/12/2022
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