| NPI | 1316206923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY A HASENAUER President/Owner 308-534-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 18908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110460) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-05-20 |