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PATRICIA R PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2337 N WEBB RD, GRAND ISLAND, NE 68803-1743
(308) 384-7625
(308) 384-8904
Mailing address
3520 AVENUE I, KEARNEY, NE 68847-3213
(308) 234-5651

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
110556
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
239940
MIDLANDS PROVIDER #
NE
01
38362
BCBS PROVIDER #
NE
Enumeration date
03/22/2007
Last updated
07/09/2007
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