Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 111040 | NE |
NPI | 1043442288 |
---|---|
Provider Name | Sarah R Mayhue |
First Address | Omaha, NE 68124-2311 |
Second Address | Omaha, NE 68124-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2009 |
Last Update Date | 07/09/2017 |