| NPI | 1942195797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MALCOLM President/CEO 308-778-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-07-22 |