| NPI | 1215904131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MONHOLLON CFO 402-484-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC017) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-09-26 |