| NPI | 1346566163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE R STAAB-PETERS Member Manager 402-875-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111117) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2018-11-14 |