| NPI | 1598169716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BARNA Billing Compliance Manager 402-955-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |