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Organization
PEMBERLY PLACE MEDICAL CLINIC LLC
Active
Organization
PEMBERLY PLACE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN M BUTTERFIELD MSN, APRN, FNP (NURSE PRACTITIONER)
(531) 500-3018
Entity
Organization
Contact information
Practice address
7655 ARCHER PLACE, LINCOLN, NE 68516
(531) 500-3650
Mailing address
7655 ARCHER PLACE, LINCOLN, NE 68516
(531) 500-3650
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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