# FAMILY MEDICINE AND URGENT CARE OF GRAND ISLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568968543
- **Authorized official:** DR. DAWN GAY NAHRSTEDT DNP, APRNC (MANAGER/PROVIDER)
- **Authorized official phone:** (308) 675-3900

## Contact information

- **Practice address:** 423 W 4TH ST, GRAND ISLAND, NE 68801-4503
- **Practice address phone:** (308) 675-3900
- **Practice address fax:** (308) 675-3899
- **Mailing address:** 423 W 4TH ST, GRAND ISLAND, NE 68801-4503
- **Mailing address phone:** (308) 675-3900
- **Mailing address fax:** (308) 675-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 06/21/2018