Individual
MARY C RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4303
(402) 955-4379
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80853
NE
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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