| NPI | 1083725337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A RAFFERTY Billing Office Manager 402-554-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A051642) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |