Organization
WELLITY, LLC
Active
Other names
Wellity for women
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE GLADE DNP, APRN (MANAGER)
(402) 416-1632
Entity
Organization
Contact information
Practice address
5550 S 59TH ST STE 21, LINCOLN, NE 68516-2398
(402) 858-2052
(402) 817-1743
Mailing address
5550 S 59TH ST STE 21, LINCOLN, NE 68516-2398
(402) 416-1632
(402) 817-1743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027799200
—
NE
Enumeration date
12/26/2022
Last updated
05/15/2024
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