| NPI | 1609747336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH R WEAVER Owner 308-221-6068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |