Individual
COURTNEY MARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2625 STOCKWELL ST, LINCOLN, NE 68502-5755
(402) 421-3335
(402) 421-2625
Mailing address
2625 STOCKWELL ST, LINCOLN, NE 68502-5755
(402) 421-3335
(402) 421-2625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2532
NE
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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