| NPI | 1134487317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KAY CLINKENBEARD Nurse Practitioner 402-504-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110789) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |