| NPI | 1659119204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZIRA USMANOVA CEO/Owner 402-680-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-10-14 |