Individual provider · Type 1 NPI

Mallory Marie Coolidge, APRN

Nurse Practitioner · Omaha, NE

NPI number 1629734751 Active

Practice location

8141 W Center Rd Ste 200
Omaha, NE 68124-3273

Call (402) 717-3000 Map

Mailing address

11461 Bauman Ave
Omaha, NE 68164-6815

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	113809 (NE)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629734751

Mallory Marie Coolidge, APRN's National Provider Identifier is 1629734751, issued on Nov 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Omaha, NE. The record was last updated on Nov 12, 2021.