| NPI | 1477186757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADRA OMEROVIC Credentialing 402-421-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |