| NPI | 1275220949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIEVIA RUSH-WILKS Owner/Np 402-219-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-04-29 |