| NPI | 1578318598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA COLE Director Of Provider Services 402-898-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |