| NPI | 1952157968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIEVIA Q RUSH-WILKS Ap RN/Co Owner 402-219-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |