Organization
PROACTIVE WOUND CARE NE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN PAYNE DPM (PRESIDENT)
(801) 815-6500
Entity
Organization
Contact information
Practice address
650 J ST STE 405, LINCOLN, NE 68508-2924
(801) 815-6500
Mailing address
PO BOX 607, CENTERVILLE, UT 84014-0607
(801) 815-6500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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