Individual
MARIE A BISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3900 PINE LAKE RD, LINCOLN, NE 68516-5489
(402) 981-1167
Mailing address
9335 ELLISON AVE, OMAHA, NE 68134-1716
(402) 981-1167
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
111240
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111240
NE LICENSE
NE
01
—
J133569
IA LICENSE
IA
Enumeration date
06/09/2011
Last updated
06/23/2025
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