| NPI | 1265432223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE MACDONALD Physician Shareholder 402-753-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 19644) |
| 208000000X Pediatrics (Licence: NE 18393) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110475) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2025-09-11 |