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Search › Nebraska › 101YM0800X

Mary Tyner

NPI 1366053969 · on the registry since 2020 · sole proprietor

Practice

Address
10748 Virginia Plz Ste 107
La Vista, NE 68128
Phone
(402) 933-4411
Fax
(888) 507-5931
Organisation at this address
Focus C3, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106S00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska