Individual
MARCIA K MERBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8710 FREDERICK ST, SUITE 100, OMAHA, NE 68124
(402) 926-2680
(402) 926-2347
Mailing address
5715 S 34TH ST, SUITE 100, LINCOLN, NE 68516-6648
(402) 926-2680
(402) 926-2347
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
IN PROCESS
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01942 GROUP
BLUE SHIELD OF NEBRASKA
—
05
—
100251379-00
—
NE
Enumeration date
09/02/2009
Last updated
06/20/2012
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