NPI | 1740748920 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA ROSA TAYLOR Ap RN, Fnp C 402-802-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice |
208D00000X General Practice | |
261Q00000X Clinic/Center | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-05-09 |