Healthcare Provider Details

I. General information

NPI: 1730013772
Provider Name (Legal Business Name): MARLEY ANN MCMAINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 PARK CREST DR
PAPILLION NE
68133-4449
US

IV. Provider business mailing address

11420 33RD AVE
PLATTSMOUTH NE
68048-8110
US

V. Phone/Fax

Practice location:
  • Phone: 402-305-2936
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberH14149632
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: