| NPI | 1689323867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE STANZEL Owner 402-577-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-01-31 |