NPI | 1033588215 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAM LUNDHOLM Owner 402-504-3707 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111311) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |