| NPI | 1033474275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ANN WHITTLE Owner 402-614-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111379) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-09-19 |