NPI 1104105709

Mary W. Dickerson, CNM

Practitioner Midwife Lincoln, NE

Practice location

Address: 301 S 70th St Suite 200, Lincoln, NE 68510-2469
Phone: (402) 483-7641
Fax: (402) 483-0527

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 120051 (NE)

Other Midwife providers in Nebraska →

Ambulatory Women's Health Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0101X Licence 31542 (NE)

Other Registered Nurse providers in Nebraska →

Registry record

NPI: 1104105709
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2011
Record last updated: 6 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.