| NPI | 1770113854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE RACHELLE NELSON Owner 402-856-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |