Individual
BAILEY E MACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
79936
NE
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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