| NPI | 1437710043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J STEVENS Director Of Finance 402-955-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |