| NPI | 1245946243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER S SWANSON Owner 308-830-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 176B00000X Midwife |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |