Individual
MRS. MARY CATHERINE LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Mailing address
7261 MERCY ROAD, ATTN: CLINIC CREDENTIALING, OMAHA, NE 68124-2311
(402) 398-5880
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
111591
NE
363LA2100X
Acute Care Nurse Practitioner
L139178
IA
363LA2100X
Acute Care Nurse Practitioner
RN189713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684617
MEDICARE PTAN
NE
01
—
414530173
MEDICARE PTAN
IA
Enumeration date
05/29/2008
Last updated
09/18/2015
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