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NPI Code Detail

MEDICARE: GABRIELLE MAENNER

MEDICARE: GABRIELLE MAENNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2490NE

General Provider Information

NPI Number : 1295320257
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE MAENNER
Provider Business Mailing Address
First Line : 14114 EAGLE RUN DR
Second Line :
City : OMAHA
State : NE
Zip : 68164-5421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3420 N 78TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-5038
Country : US
Telephone Number : 531-299-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2021
Last Update Date : 03/02/2021

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Directions to “ GABRIELLE MAENNER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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