Organization
WHOLEHEARTED THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENA FOSTER (SOLE MEMBER)
(402) 730-9819
Entity
Organization
Contact information
Practice address
4701 BANCROFT AVE, LINCOLN, NE 68506-4324
(402) 730-9819
Mailing address
4701 BANCROFT AVE, LINCOLN, NE 68506-4324
(402) 730-9819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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