Individual
MARY MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 S 153RD CT, OMAHA, NE 68154-2830
(402) 917-1412
Mailing address
4060 VINTON ST, OMAHA, NE 68105-3862
(402) 991-9880
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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