Individual
MCKAYLA IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12875 DEAUVILLE DR, OMAHA, NE 68137-3242
(402) 399-1700
Mailing address
16412 BIRCH AVE, OMAHA, NE 68136-3225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85434
NE
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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