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Organization

PSYCHNEBRASKA LLC

Active
Other names
PsychNebraska
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL M WILKEN PMHNP-BC (PRESIDENT)
(531) 272-8322
Entity
Organization

Contact information

Practice address
18651 WEBSTER CIR, ELKHORN, NE 68022-3948
(531) 272-8322
(531) 272-8823
Mailing address
18651 WEBSTER CIR, ELKHORN, NE 68022-3948
(531) 272-8322
(531) 272-8823

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/14/2024
Last updated
09/18/2024
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