| NPI | 1194378398 |
|---|---|
| Other Name | MHC--AADE DEAP |
| Entity Type | Organization |
| Authorized Contact | MELODEE J DRENKOW Systems Auditor/Credentialing 402-370-1064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-07-09 |