| NPI | 1538189857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA PROFFITT Office Manager 402-379-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 367A00000X Advanced Practice Midwife | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-04-10 |