| NPI | 1619869419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT PAPENHAGEN Hr Manager 402-937-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |