| NPI | 1548845894 |
|---|---|
| Doing Business As | DECK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M HARLOW Medical Practice Administrator 402-489-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-29 |