Individual
MIRANDA MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8055 O ST STE 100, LINCOLN, NE 68510-2575
(402) 488-5972
(402) 488-5974
Mailing address
8055 O ST STE 100, LINCOLN, NE 68510-2575
(402) 488-5972
(402) 488-5974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114299
NE
Other
Enumeration date
08/01/2022
Last updated
10/21/2025
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