| NPI | 1487008090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE STURDEVANT Ap RN Bc 402-875-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111649) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |