Organization
PRO CARE MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN A LIST APRN (OWNER)
(402) 980-1697
Entity
Organization
Contact information
Practice address
421 S 243RD ST, WATERLOO, NE 68069-4704
(402) 980-1697
(402) 896-3695
Mailing address
421 S 243RD ST, WATERLOO, NE 68069-4704
(402) 980-1697
(402) 896-3695
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110412
NE
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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