Individual
CARRIE SUE SAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 996-3569
Mailing address
7630 LAFAYETTE AVE, OMAHA, NE 68114-1732
(402) 995-1185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78727
NE
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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