| NPI | 1942661970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE ALBERT Pmhnp 402-200-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111792) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |