Organization
CFC HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM LEAL-CASTANEDA (PRACTICE MANAGER)
(308) 675-1931
Entity
Organization
Contact information
Practice address
908 N HOWARD AVE, SUITE 102, GRAND ISLAND, NE 68803-3556
(308) 675-1931
(308) 675-1934
Mailing address
908 N HOWARD AVE, SUITE 102, GRAND ISLAND, NE 68803-3556
(308) 675-1931
(308) 675-1934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111197
NE
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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