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 |