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Individual

SUZIE MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-6600
(402) 537-3482
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-6600
(402) 537-3482

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110907
NE
363L00000X
Nurse Practitioner
A098483
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0443358
IA
05
100251147-00
NE
Enumeration date
05/12/2006
Last updated
01/04/2024
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