# NEBRASKA HEALTH AND WELLNESS CLINIC LLC

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

## Provider details

- **NPI number:** 1679047955
- **Authorized official:** JOSE LUIS NUNO PA-C (OWNER)
- **Authorized official phone:** (402) 315-7538

## Contact information

- **Practice address:** 1112 VERGES AVE, NORFOLK, NE 68701-3853
- **Practice address phone:** (402) 315-7538
- **Mailing address:** 1112 VERGES AVE, NORFOLK, NE 68701-3853
- **Mailing address phone:** (402) 379-8727
- **Mailing address fax:** (402) 379-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/19/2019
- **Last updated:** 04/05/2019