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General NPI Number Information
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NPI Number | 1922393776
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Entity Type | Individual
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Provider Name | MARIE A BISSELL APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3900 PINE LAKE RD
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City | LINCOLN
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State | NE
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Zip | 68516-5489
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Country | US
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Telephone | 402-981-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 9335 ELLISON AVE
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City | OMAHA
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State | NE
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Zip | 68134-1716
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Country | US
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Telephone | 402-981-1167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 111240
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License Number State | NE
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