| NPI | 1689366189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MANGIAMELI President 402-646-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-09-07 |