Individual
MELISSA REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8140 S 103RD ST, LA VISTA, NE 68128-5770
(402) 502-5088
Mailing address
8140 S 103RD ST, LA VISTA, NE 68128-5770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73152
NE
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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