Individual
SUE MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
LINCOLN PUBLIC SCHOOLS, 5905 O STREET, LINCOLN, NE 68510
(402) 436-1000
Mailing address
5506 NW FAIRWAY DR, LINCOLN, NE 68521-3823
(402) 601-9530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21990
NE
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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