Organization
DECK FAMILY PRACTICE
Active
Other names
Deck Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA M HARLOW (MEDICAL PRACTICE ADMINISTRATOR)
(402) 489-7100
Entity
Organization
Contact information
Practice address
7111 A ST STE 201, LINCOLN, NE 68510-4283
(402) 489-7100
(402) 489-3249
Mailing address
7111 A ST STE 201, LINCOLN, NE 68510-4283
(402) 489-7100
(402) 489-3249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025595500
—
NE
01
—
110806
NURSE PRACTITIONER PSYCH/MENTAL HEALTH
NE
01
—
113170
NEBRASKA STATE LICENSE
NE
01
—
1144330457
INDIVIDUAL NPI
NE
01
—
1700408481
INDIVIDUAL NPI
NE
01
—
252878
MIDLANDS - NHCP
NE
01
—
39194
BCBS - NHCP
NE
Enumeration date
03/17/2021
Last updated
03/29/2021
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