NPI | 1760506331 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY BARNA Director Reimb & Managed Care 402-955-6775 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-10-05 |