| NPI | 1679657423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J. FASSE President 402-884-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |