| NPI | 1598520116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DEAN CEO 402-916-1897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-07-31 |