| NPI | 1205267978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M BENTZEN Ap RN 402-614-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111393) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2015-06-23 |