Individual
MARIA VICTORIA G ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6901 N 72ND ST STE 2400, OMAHA, NE 68122-1709
(402) 717-0070
(402) 717-0073
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112850
NE
363L00000X
Nurse Practitioner
209006974
IL
363LA2200X
Adult Health Nurse Practitioner
209.006974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147087
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/23/2008
Last updated
07/08/2019
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