Individual
DR. MAIREEN A MIRAVITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4748
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33880
NE
207LP3000X
Pediatric Anesthesiology Physician
Primary
33880
NE
Other
Enumeration date
06/21/2017
Last updated
07/06/2022
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