| NPI | 1326413949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONNI KRISTYNE KLUENDER Manager 402-389-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2023-06-27 |