NPI | 1639568389 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA LUETHKE Billing Manager 402-646-5052 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111736) |
Enumeration Date | 2015-01-19 |
Last Update Date | 2015-05-04 |