Individual
MARJORIE R SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 N 168TH CIR, #211, OMAHA, NE 68118-4091
(402) 289-9325
(402) 289-9829
Mailing address
4242 FARNAM ST, #150, OMAHA, NE 68131-2806
(402) 552-6747
(402) 552-6741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21276
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596700
—
IA
05
—
10025310200
—
NE
Enumeration date
07/04/2006
Last updated
07/09/2007
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