# BARRY S BERUMEN APRN-NP, PMHNP-BC, LLC

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

## Provider details

- **NPI number:** 1639568389
- **Authorized official:** REBECCA LUETHKE CPC (BILLING MANAGER)
- **Authorized official phone:** (402) 646-5052

## Contact information

- **Practice address:** 810 N 48TH ST, STE 1, LINCOLN, NE 68504-3367
- **Practice address phone:** (402) 802-0726
- **Practice address fax:** (402) 477-3655
- **Mailing address:** 810 N 48TH ST, STE 1, LINCOLN, NE 68504-3367
- **Mailing address phone:** (402) 802-0726
- **Mailing address fax:** (402) 477-3655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 111736 | NE | Yes |

## Other

- **Enumeration date:** 01/19/2015
- **Last updated:** 05/04/2015