Individual provider · Type 1 NPI

Maran Avery

Medical Physician Assistant · Lincoln, NE

NPI number 1720469778 Active

Practice location

2222 S 16th St, Suite 405
Lincoln, NE 68502-3796

Fax (402) 474-3748

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1922 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1720469778

Maran Avery's National Provider Identifier is 1720469778, issued on Jun 16, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Jun 16, 2015.