Individual
MS. MARY BETH HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3341 N 107TH ST, OMAHA, NE 68134-3664
(402) 496-0088
(402) 496-0489
Mailing address
7920 NEWPORT AVE, OMAHA, NE 68122-1654
(402) 571-2234
(402) 496-0489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250886-00
—
NE
Enumeration date
03/08/2007
Last updated
07/08/2007
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