| NPI | 1740321652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L HENKENIUS CFO 712-464-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-11-01 |