| NPI | 1710203054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA D CLEMENT Co Owner 402-463-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110737) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-10-13 |