| NPI | 1023509049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY HAUMONT Office Manager 402-476-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112195) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 105257) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-09-26 |