Organization
MYRTLE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAUN CARPENTER NP (OWNER)
(308) 414-6587
Entity
Organization
Contact information
Practice address
623 BROADWAY, IMPERIAL, NE 69033-3136
(308) 414-6587
Mailing address
PO BOX 154, IMPERIAL, NE 69033-0154
(308) 414-6587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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