| NPI | 1760360663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA MARIE ESTES Director 402-690-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |