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Individual

AMY M MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3005 S 70TH ST, OMAHA, NE 68106-3503
(402) 750-1688
Mailing address
3005 S 70TH ST, OMAHA, NE 68106-3503
(402) 750-1688

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110308
NE
363LF0000X
Family Nurse Practitioner
110308
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025464000
NE
05
1558340695
IA
Enumeration date
01/16/2006
Last updated
05/05/2015
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