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Individual

MITCHELL BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
8074 S 84TH ST, LA VISTA, NE 68128-3303
(402) 991-9500
(402) 991-9564
Mailing address
8074 S 84TH ST, LA VISTA, NE 68128-3303
(402) 991-9500
(402) 991-9564

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110993
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026518600
NE
01
110993
LICENSE
NE
Enumeration date
10/22/2008
Last updated
11/01/2023
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