Carlson, Mandy Renae

Carlson, Mandy Renae is an individual health care provider with primary practice located at 102 W Gruenther Rd , Gretna NE 68028-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlson, Mandy Renae can be contacted via phone (402) 332-2772.

Contact Information

Primary practice address
102 W Gruenther Rd Gretna NE 68028-4828
Phone: (402) 332-2772
Fax: (402) 332-5446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 111224 Nebraska

Profile Details

NPI number 1396974820
LBN Legal business name Carlson, Mandy Renae
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Apr 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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