Organization
SPECTRUM MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL GENE MORELAND III APRN-NP (OWNER, NURSE PRACTITIONER)
(402) 939-6623
Entity
Organization
Contact information
Practice address
919 GALVIN RD S STE A, BELLEVUE, NE 68005-2207
(402) 939-6623
(402) 625-0664
Mailing address
919 GALVIN RD S STE A, BELLEVUE, NE 68005-2207
(402) 939-6623
(402) 625-0664
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027957600
—
NE
Enumeration date
09/13/2023
Last updated
09/13/2023
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