Provider Demographics
NPI:1598230989
Name:BROSS, MARGARET KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:KAY
Last Name:BROSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2425
Mailing Address - Country:US
Mailing Address - Phone:531-299-6890
Mailing Address - Fax:531-299-1158
Practice Address - Street 1:4301 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2425
Practice Address - Country:US
Practice Address - Phone:531-299-6890
Practice Address - Fax:531-299-1158
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29200163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool