# ELEMENT PRIMARY CARE, LLC

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

## Provider details

- **NPI number:** 1972139228
- **Authorized official:** WENDY PECORARO APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (402) 305-5058

## Contact information

- **Practice address:** 10020 NICHOLAS ST STE 106, OMAHA, NE 68114-2188
- **Practice address phone:** (402) 999-9999
- **Mailing address:** 11501 PEBBLEBROOKE BLVD, GRETNA, NE 68028-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020