Individual
MARAN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S 16TH ST, SUITE 405, LINCOLN, NE 68502-3796
(402) 474-3704
(402) 474-3748
Mailing address
2222 S 16TH ST, SUITE 405, LINCOLN, NE 68502-3796
(402) 474-3704
(402) 474-3748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1922
NE
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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