Individual
MARY ATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2846 OLD FAIR RD, GRAND ISLAND, NE 68803-5222
(308) 381-1690
(308) 381-6520
Mailing address
4980 S 118TH ST, MOSAIC, OMAHA, NE 68137-2200
(402) 896-3884
(402) 896-8751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57457
NE
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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