Individual
MARIELLA DI LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
2255 S 132ND ST STE 100, OMAHA, NE 68144-2573
(402) 614-4969
Mailing address
11807 S 29TH AVE, BELLEVUE, NE 68123-1453
(631) 235-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
115030
NE
363L00000X
Nurse Practitioner
A186645
IA
363L00000X
Nurse Practitioner
CP003660
SD
Other
Enumeration date
09/22/2023
Last updated
11/13/2025
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