| NPI | 1134616212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGGIE RIPPLE President 402-934-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111120) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2022-11-28 |