Mary Mae Swick

Individual provider Active NPI Chore Provider · Ponca, NE

NPI 1174313985 · NPPES record last updated May 7, 2025

Key facts

NPI
1174313985
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
117 N Union St Ste 1
Ponca, NE 68770-7297
Phone
(712) 251-7523
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider
Group: 193400000X SINGLE SPECIALTY GROUP
372500000X Yes

Addresses

Primary practice location

117 N Union St Ste 1
Ponca, NE 68770-7297

Mailing address

117 N Union St Ste 1
Ponca, NE 68770-7297
Phone (660) 654-0118

Other names

  • Mary Mae Brindle Former name

Other providers in Ponca, NE

All providers in Ponca, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.